NPIMap

Organization Active NPI

Marshalltown Anesthesiologists PLC

  • Anesthesiology Physician
  • Marshalltown, IA
National Provider Identifier
1700867108
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MARSHALLTOWN ANESTHESIOLOGISTS PLC
Practice address
312 E Main St
Suite 2300 Marshalltown Anesthesiologists PLC
Marshalltown, IA 50158-1888
Phone
(641) 752-7149
Fax
(641) 752-6320
NPI assigned
Nov 11, 2005
Last updated
Jun 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Authorized official

Name
James P Black, MD
Title
Partner
Phone
(641) 752-7149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

312 E Main St
Suite 2300 Marshalltown Anesthesiologists PLC
Marshalltown, IA 50158-1888

Mailing address

312 E Main St
Suite 2300 Marshalltown Anesthesiologists PLC
Marshalltown, IA 50158-1888
Phone (641) 752-7149

Other identifiers 3

IdentifierTypeStateIssuer
1017038MedicaidIA
41903OtherIAWELLMARK BCBS OF IA
CE9564OtherPGBA PR MEDICARE

National Provider Directory

National Provider Directory

Locations

312 E Main St
Ste 2300
Marshalltown, IA 50158
Phone (515) 752-7149

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1700867108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E MAIN ST",
            "address_2": "SUITE 2300 MARSHALLTOWN ANESTHESIOLOGISTS PLC",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501581888",
            "telephone_number": "641-752-7149",
            "fax_number": "641-752-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E MAIN ST",
            "address_2": "SUITE 2300 MARSHALLTOWN ANESTHESIOLOGISTS PLC",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501581888",
            "telephone_number": "641-752-7149",
            "fax_number": "641-752-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALLTOWN ANESTHESIOLOGISTS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "641-752-7149",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017038",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS OF IA",
            "identifier": "41903",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PGBA PR MEDICARE",
            "identifier": "CE9564",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshalltown, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.