Southeast Iowa Kidney Care, Hypertension and Medicine Clinic, LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

33195 Issued in IA

Legal business name

SOUTHEAST IOWA KIDNEY CARE, HYPERTENSION AND MEDICINE CLINIC, LLC

Practice address

641 Pennsylvania Ave
Ottumwa, IA 52501-2116

Phone

(641) 682-4557

NPI assigned

Jul 12, 2013

Last updated

Jul 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jashim Uddin Ahmed, M.D.NPI 1538145784

Title

Physician

Phone

(641) 682-4557

Specialties & licenses 1

Addresses

Other names 1

• JASHIM UDDIN AHMED Other name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 3

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.

• Jashim U Ahmed, MD

  • Internal Medicine Physician
  • Ottumwa, IA
  • NPI 1538145784
  Medicare reassignment NPD Authorized official
• Alexander W Macy, DC

  • Chiropractor
  • Monroe, IA
  • NPI 1194804468
  NPD (past)
• Richard W Rupp, DC

  • Chiropractor
  • Ottumwa, IA
  • NPI 1326366097
  NPD (past)

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1780025213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 PENNSYLVANIA AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012116",
            "telephone_number": "641-682-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 PENNSYLVANIA AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012116",
            "telephone_number": "641-682-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST IOWA KIDNEY CARE, HYPERTENSION AND MEDICINE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "JASHIM",
        "authorized_official_middle_name": "UDDIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "641-682-4557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IA",
            "license": "33195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JASHIM UDDIN AHMED",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• William S Snyder III, FNP
• Jason John Sothman, D.C.
• South Side Drug Inc (South Side Drug)
• South Side Drug Inc
• Southeast Iowa Chiropractic LLC
• Southern Iowa Economic Development Assoc
• Southern Iowa Family Planning Clinic, Inc.
• Southern Iowa Mental Health Center (Southern Iowa Mental Health CCBHC)
• Southern Iowa Mental Health Center
• Southern Prairie Aea 15

• Nephrology Physician in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• Nephrology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.