NPIMap

Organization Active NPI

Iowa ENT & Sinus Surgery Center PC

  • Otolaryngology Physician
  • Fort Dodge, IA
National Provider Identifier
1659547156
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
26089 Issued in IA
Legal business name
IOWA ENT & SINUS SURGERY CENTER PC
Practice address
804 Kenyon Rd
Suite F
Fort Dodge, IA 50501-5742
Phone
(515) 576-3100
Fax
(515) 576-3104
NPI assigned
May 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cindy Grace Fellers
Title
Business Manager
Phone
(515) 576-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 26089 IA Primary

Addresses

Primary practice location

804 Kenyon Rd
Suite F
Fort Dodge, IA 50501-5742

Mailing address

804 Kenyon Rd
Suite F
Fort Dodge, IA 50501-5742
Phone (515) 576-3100

National Provider Directory

National Provider Directory

Locations

804 Kenyon Rd
Ste F
Fort Dodge, IA 50501
Phone (515) 576-3100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1659547156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 KENYON RD",
            "address_2": "SUITE F",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015742",
            "telephone_number": "515-576-3100",
            "fax_number": "515-576-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 KENYON RD",
            "address_2": "SUITE F",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015742",
            "telephone_number": "515-576-3100",
            "fax_number": "515-576-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA ENT & SINUS SURGERY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "FELLERS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "515-576-3100"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "IA",
            "license": "26089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.