NPIMap

Organization Active NPI

Newton Clinic PC

  • Family Medicine Physician
  • Newton, IA
National Provider Identifier
1730115213
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NEWTON CLINIC PC
Practice address
300 N 4TH Ave E
Suite 200
Newton, IA 50208-3155
Phone
(641) 792-2112
Fax
(641) 792-8484
NPI assigned
Jun 24, 2006
Last updated
Jun 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Authorized official

Name
Mr. Mark Thayer
Title
Clinic Adminstrator
Phone
(641) 792-2112

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X

Addresses

Primary practice location

300 N 4TH Ave E
Suite 200
Newton, IA 50208-3155

Mailing address

300 N 4TH Ave E
Suite 200
Newton, IA 50208-3155
Phone (641) 792-2112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040325000962 IA Part B Supplier - Clinic/Group Practice 6608768676 Receives reassigned benefits from 24 practitioners
Practice locations: Newton, IA
O20100930052630 IA DME Supplier - Physician - Family Practice 6608768676 Practice locations: Newton, IA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/31005/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 27

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 27

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1730115213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N 4TH AVE E",
            "address_2": "SUITE 200",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083155",
            "telephone_number": "641-792-2112",
            "fax_number": "641-792-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N 4TH AVE E",
            "address_2": "SUITE 200",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083155",
            "telephone_number": "641-792-2112",
            "fax_number": "641-792-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWTON CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "THAYER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CLINIC ADMINSTRATOR",
        "authorized_official_telephone_number": "641-792-2112",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.