Iowa Physicians Clinic Medical Foundation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION

Doing business as

UnityPoint Clinic

Practice address

3415 53Rd Ave
Bettendorf, IA 52722-6976

Phone

(563) 742-4350

Fax

(563) 742-4355

NPI assigned

Jun 28, 2013

Organization subpart

No

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

Authorized official

Name

Erick J Laine

Title

VP/Coo

Phone

(515) 471-9300

Specialties & licenses 1

Addresses

Other names 1

• UnityPoint Clinic Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1730529280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 53RD AVE",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527226976",
            "telephone_number": "563-742-4350",
            "fax_number": "563-742-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 53RD AVE",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527226976",
            "telephone_number": "563-742-4350",
            "fax_number": "563-742-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "LAINE",
        "authorized_official_first_name": "ERICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP/COO",
        "authorized_official_telephone_number": "515-471-9300"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UnityPoint Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Angela Irwin, DC
• Thomas Paul Irwin Jr., DMD
• Lauren Ashley Isaacson, LMHC
• Elizabeth Isbell, P.T.
• Jonathan Ryan Isgrig, OD

• Durable Medical Equipment & Medical Supplies in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Durable Medical Equipment & Medical Supplies in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.