Active NPI
State University of Iowa
- Family Medicine Physician
- Iowa City, IA
National Provider Identifier
1730554288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- STATE UNIVERSITY OF IOWA
- Practice address
- 1125 N Dodge St
Iowa City, IA 52245-6102 - Phone
- (319) 384-8822
- NPI assigned
- Dec 9, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Philip E Roudabush
- Title
- Director, Patient Financial Service
- Phone
- (319) 384-2334
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1125 N Dodge St
Iowa City, IA 52245-6102
Mailing address
1125 N Dodge St
Iowa City, IA 52245-6102
Phone (319) 384-8822
Other names 1
- UI QuickCare Express-North Dodge
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Other NPIs on the same Medicare enrollment 36
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Washington, IA
- NPI 1093790578
O20031107000060
-
- Plastic and Reconstructive Surgery Physician
- Cedar Rapids, IA
- NPI 1114390358
O20031107000060
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospitalist Physician
- Iowa City, IA
- NPI 1073952883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449619200000",
"number": "1730554288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 N DODGE ST",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522456102",
"telephone_number": "319-384-8822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 N DODGE ST",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522456102",
"telephone_number": "319-384-8822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATE UNIVERSITY OF IOWA",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-09",
"last_updated": "2015-12-09",
"status": "A",
"authorized_official_last_name": "ROUDABUSH",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "DIRECTOR, PATIENT FINANCIAL SERVICE",
"authorized_official_telephone_number": "319-384-2334"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "UI QuickCare Express-North Dodge",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.