NPIMap

Organization Active NPI

Physicians' Clinic of Iowa, PC, Dept of Orthoapedics

  • Orthopaedic Surgery Physician
  • Cedar Rapids, IA
National Provider Identifier
1740331891
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
PHYSICIANS' CLINIC OF IOWA, PC, DEPT OF ORTHOAPEDICS
Practice address
600 7TH St SE
Cedar Rapids, IA 52401-2112
Phone
(319) 398-1500
Fax
(319) 398-1558
NPI assigned
Jan 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Donna S Cooper
Title
Ceo
Phone
(319) 398-1772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

600 7TH St SE
Cedar Rapids, IA 52401-2112

Mailing address

600 7TH St SE
Cedar Rapids, IA 52401-2112
Phone (319) 398-1500

Other identifiers 1

IdentifierTypeStateIssuer
56465OtherIAWELLMARK GROUP NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Physicians' Clinic of Iowa PC Dept of Urology12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

202 10th St SE
Ste 104
Cedar Rapids, IA 52403

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740331891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 7TH ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524012112",
            "telephone_number": "319-398-1500",
            "fax_number": "319-398-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 7TH ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524012112",
            "telephone_number": "319-398-1500",
            "fax_number": "319-398-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS' CLINIC OF IOWA, PC, DEPT OF ORTHOAPEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "319-398-1772"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK GROUP NUMBER",
            "identifier": "56465",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.