Dwain G Crain, DO
Individual provider Active NPI Family Medicine Physician · Mount Ayr, IA
NPI 1649250002 · NPPES record last updated Nov 17, 2009
Key facts
- NPI
- 1649250002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 02084 (IA)
- Practice address
- 207 N Taylor St
Mount Ayr, IA 50854-1635 - Phone
- (641) 464-3911
- Fax
- (641) 464-2939
- NPI assigned
- Jan 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2084 | IA | MD | Optometrist |
| 02084 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crain Medical Clinic | Family Medicine | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02084 | IA | Yes |
Addresses
Primary practice location
207 N Taylor St
Mount Ayr, IA 50854-1635
Mailing address
207 N Taylor St
Mount Ayr, IA 50854-1635
Phone (641) 464-3911
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0226704 | Medicaid | IA |
Other providers in Mount Ayr, IA
- Clearview-Routh LP
- Denise Marie Coleman
- County of Ringgold
- County of Ringgold Dba Ringgold County Public Health
- Crain Medical Clinic
- Raydeen Elizabeth Derscheid
- Dr. Robert H Sharp, PC
- Jill L Ehlen
- Eye Care Associates of Co, LLC
- Haroon Ferhut
All providers in Mount Ayr, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.