Mason City Clinic PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MASON CITY CLINIC PC

Practice address

250 S Crescent Dr
Mason City, IA 50401-2926

Phone

(641) 422-6620

NPI assigned

Oct 3, 2007

Organization subpart

Yes

Parent organization

MASON CITY CLINIC PCAs reported in NPPES

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

Authorized official

Name

Dana R Young

Title

Administrator

Phone

(641) 422-6509

Specialties & licenses 1

Addresses

Tax ID family

Mason City Clinic2 organizations share this tax ID, including this one

Part of

Mason City Clinic

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mason City Clinic

  • Medical Specialty Clinic/Center
  • Mason City, IA
  • NPI 1710936604
  NPD tax ID

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1679760664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S CRESCENT DR",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012926",
            "telephone_number": "641-422-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S CRESCENT DR",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012926",
            "telephone_number": "641-422-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON CITY CLINIC PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MASON CITY CLINIC PC",
        "enumeration_date": "2007-10-03",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "641-422-6509"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mason City Ambulatory Surgery Center, LLC
• Mason City Chiropractic, Inc.
• Mason City Clinic
• Mason City Clinic P.C.
• Mason City Clinic PC
• Mason City Community School District
• Mason City Endodontics LLP
• Mason City Healthcare
• Mason City Ia Skilled Nursing Facility LLC
• Mason City Imaging Partners LLC

• Diagnostic Radiology Physician in Mason City, IA
• Providers in Mason City, IA by specialty
• Diagnostic Radiology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.