Preferred Image

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

PREFERRED IMAGE

Practice address

801 Hudson St
Lake View, IA 51450

Phone

(712) 830-4840

Fax

(877) 330-2377

NPI assigned

Jan 7, 2026

Last updated

Sep 9, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Mogensen, PA-CNPI 1881679900

Title

Provider

Phone

(712) 830-4840

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Mogensen, PA-C

  • Medical Physician Assistant
  • Lake View, IA
  • NPI 1881679900
  NPD Authorized official

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

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1679430110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 N STATE RD",
            "city": "LAKE VIEW",
            "state": "IA",
            "postal_code": "514507307",
            "telephone_number": "712-830-3170",
            "fax_number": "877-330-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 HUDSON ST",
            "city": "LAKE VIEW",
            "state": "IA",
            "postal_code": "51450",
            "telephone_number": "712-830-4840",
            "fax_number": "877-330-2377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 N State Rd",
            "address_purpose": "LOCATION",
            "city": "Lake View",
            "state": "IA",
            "postal_code": "514507307",
            "country_code": "US",
            "telephone_number": "712-830-3170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREFERRED IMAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "MOGENSEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "712-830-4840",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret A Liautaud, LISW
• John Richard Miller, PTA
• Mark Mogensen, PA-C
• Deanna Moore
• Pharma340 LLC (Community Pharmacy of Lake View)
• Alecia Ann Smith, LISW
• Stewart Memorial Community Hospital (Stewart Memorial Clinic Lake View)
• Jenna Sturm
• Theodore R. Liautaud (Lakes Counseling & Psychiatry)
• Bryan Thompson

• Adult Medicine Physician in Lake View, IA
• Providers in Lake View, IA by specialty
• Adult Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.