Active NPI
Skiff Medical Center
- Certified Registered Nurse Anesthetist
- Newton, IA
National Provider Identifier
1780687657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 500041H
- Legal business name
- SKIFF MEDICAL CENTER
- Practice address
- 204 N 4TH Ave E
Newton, IA 50208-3135 - Phone
- (641) 792-1273
- Fax
- (641) 791-4852
- NPI assigned
- May 24, 2005
- Last updated
- Aug 15, 2014
- Organization subpart
- Yes
- Parent organization
- SKIFF MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brett A Altman
- Title
- Ceo
- Phone
- (641) 792-1273
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 500041H | IA | Primary |
Addresses
Primary practice location
204 N 4TH Ave E
Newton, IA 50208-3135
Mailing address
204 N 4TH Ave E
Newton, IA 50208-3135
Phone (641) 792-1273
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0265462 | Medicaid | IA | |
| 26546 | Other | IA | BCBS CRNA PROVIDER # |
National Provider Directory
National Provider Directory- Part of
- Skiff Homecare Physiolo
Practitioners & affiliated clinicians
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.
-
- Physical Therapist
- Newton, IA
- NPI 1447381371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408060800000",
"number": "1780687657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 N 4TH AVE E",
"city": "NEWTON",
"state": "IA",
"postal_code": "502083135",
"telephone_number": "641-792-1273",
"fax_number": "641-791-4852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 N 4TH AVE E",
"city": "NEWTON",
"state": "IA",
"postal_code": "502083135",
"telephone_number": "641-792-1273",
"fax_number": "641-791-4852"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKIFF MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SKIFF MEDICAL CENTER",
"enumeration_date": "2005-05-24",
"last_updated": "2014-08-15",
"status": "A",
"authorized_official_last_name": "ALTMAN",
"authorized_official_first_name": "BRETT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "641-792-1273"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "500041H",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0265462",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS CRNA PROVIDER #",
"identifier": "26546",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newton, IA
- Skiff Medical Center
- Skiff Medical Center (Skiff Home Care/Jasper County Public Health)
- Skiff Medical Center (Jasper County Public Health Nursing Service)
- Skiff Medical Center
- Skiff Medical Center (Skiff Orthopaedics)
- Skiff Medical Center (Skiff Hospice)
- Skiff Medical Center
- Skiff Medical Center (Jasper County Public Health Nursing Services)
- Skin Care Clinic PLLC
- Lisa R Slea
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.