Linda Mabel Garcia-Dorta, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

32252 Issued in IA

Practice address

300 West Broadway
Ste 6
Council Bluffs, IA 51503-9040

Phone

(712) 325-1990

Fax

(712) 325-0288

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://webprd.ochin.org/prd-fhir/allcarehealthcenter/api/FHIR/R4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• All Care Health Center

  • Federally Qualified Health Center (FQHC)
  • Council Bluffs, IA
  • NPI 1114906906
  NPD
• All Care Health Center

  • Community/Retail Pharmacy
  • Council Bluffs, IA
  • NPI 1124461363
  NPD
• Morningstar Counseling and Consultation PC

  • Clinical Psychologist
  • Lincoln, NE
  • NPI 1689021677
  NPD
• Neurology Consultants of Nebraska PC

  • Neurology Physician
  • Omaha, NE
  • NPI 1811941073
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1720036676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WEST BROADWAY",
            "address_2": "STE 6",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515039040",
            "telephone_number": "712-325-1990",
            "fax_number": "712-325-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WEST BROADWAY",
            "address_2": "STE 6",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515039040",
            "telephone_number": "712-325-1990",
            "fax_number": "712-325-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-DORTA",
        "first_name": "LINDA",
        "middle_name": "MABEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "20454",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "32252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FQHC",
            "identifier": "161803",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0188946",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B",
            "identifier": "49614",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "70630",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Jane Fullenkamp, MA, CCC-SLP
• Brian Fuller, MS, LMSW, LMHP
• Ian Jacob Fullinfaw, DDS
• Daniel Eduardo Galeas Rodriguez, MD
• Annabel Galva, MD
• Devon Garrean, LMHC
• Allysha Garthright, MA, LPC
• Brian C Gartrell, M.D.
• Gary Volentine MD
• Gastroenterology Consultants PC

• Family Medicine Physician in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.