CJ Elmwood Partners L P

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

NOT APPLICABLE Issued in IA

Legal business name

CJ ELMWOOD PARTNERS L P

Practice address

4405 Hamilton Blvd
Sioux City, IA 51104-1140

Phone

(712) 239-3937

Fax

(712) 239-4946

NPI assigned

Dec 28, 2005

Last updated

Mar 14, 2023By 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. Charles E Jones, M.D.NPI 1295739977

Title

Medical Director

Phone

(712) 239-3937

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Listed as

Jones Eye ClinicCCN 16C0001003

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 1

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.

• Charles Earl Jones, M.D.

  • Ophthalmology Physician
  • Sioux City, IA
  • NPI 1295739977
  NPD (past) Authorized official

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1780661967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 HAMILTON BLVD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511041140",
            "telephone_number": "712-239-3937",
            "fax_number": "712-239-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 HAMILTON BLVD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511041140",
            "telephone_number": "712-239-3937",
            "fax_number": "712-239-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJ ELMWOOD PARTNERS L P",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "712-239-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IA",
            "license": "NOT APPLICABLE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0610188",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351713600",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5490075",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noah Yoosuk Chun, MD
• Karli Rose Church, CTRS, MSOT
• Doria Ciannelli, MD
• Matthew Cihak, LMHC, CCDP-D
• City of Sioux City Accounting Division
• Claire McCue Mental Health LLC
• Aimee Clancy, L.I.S.W.
• Clark and Associates, Inc (Clark Kuntz and Associates)
• Dave Clark, CRNA
• Garry Andrew Clark, D.O.

• Ambulatory Surgical Clinic/Center in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Ambulatory Surgical Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.