NPIMap

Organization Active NPI

Mofle Family Care Clinic, P.C.

  • Family Medicine Physician
  • Webster City, IA
National Provider Identifier
1689722175
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31043 Issued in IA
Legal business name
MOFLE FAMILY CARE CLINIC, P.C.
Doing business as
Mofle Family Care Clinic, P.C.
Practice address
1505 Lynx Avenue
Webster City, IA 50595
Phone
(515) 606-4551
Fax
(515) 606-4946
NPI assigned
Jan 8, 2007
Last updated
Jun 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Authorized official

Name
Dr. Lisa Michelle Mofle, M.D.NPI 1710961511
Title
Physician
Phone
(515) 832-7724

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31043 IA Primary

Addresses

Primary practice location

1505 Lynx Avenue
Webster City, IA 50595

Mailing address

P.O. Box 631
Webster City, IA 50595
Phone (515) 606-4561

Other identifiers 2

IdentifierTypeStateIssuer
5526012MedicaidIA
1710961511OtherIANPI PHYSICIAN

Other names 1

  • Mofle Family Care Clinic, P.C. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1689722175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 631",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "50595",
            "telephone_number": "515-606-4561",
            "fax_number": "515-606-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 LYNX AVENUE",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "50595",
            "telephone_number": "515-606-4551",
            "fax_number": "515-606-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOFLE FAMILY CARE CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "MOFLE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "515-832-7724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "31043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5526012",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI   PHYSICIAN",
            "identifier": "1710961511",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mofle Family Care Clinic, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Webster City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.