Individual provider Active NPI

Thomas M Cosgrove

  • Chiropractor
  • Ottumwa, IA
National Provider Identifier
1720068612
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06319 Issued in IA
Practice address
1429 Albia Rd
Ottumwa, IA 52501-3946
Phone
(641) 684-2261
Fax
(641) 684-2254
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06319 IA Primary

Addresses

Primary practice location

1429 Albia Rd
Ottumwa, IA 52501-3946

Mailing address

1429 Albia Rd
Ottumwa, IA 52501-3946
Phone (641) 684-2261

Other identifiers 2

IdentifierTypeStateIssuer
0289600MedicaidIA
53793OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cosgrove Chiropractic Clinic LLC Chiropractor CurrentSince Jul 22, 2002 Accepting new patients
Lindberg Chiropractic PC Chiropractor PastSince Apr 1, 1996 Accepting new patients

Locations

1429 Albia Rd
Ottumwa, IA 52501
Phone (641) 684-2261

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1720068612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 ALBIA RD",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525013946",
            "telephone_number": "641-684-2261",
            "fax_number": "641-684-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 ALBIA RD",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525013946",
            "telephone_number": "641-684-2261",
            "fax_number": "641-684-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSGROVE",
        "first_name": "THOMAS",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0289600",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "53793",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottumwa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.