Individual provider Active NPI

John C Lanaghan, MD

  • Family Medicine Physician
  • Coralville, IA
National Provider Identifier
1801821624
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33137 Issued in IA
Practice address
520 10TH Ave
Suite 200
Coralville, IA 52241-1923
Phone
(319) 358-2406
Fax
(319) 358-9276
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33137 IA Primary

Addresses

Primary practice location

520 10TH Ave
Suite 200
Coralville, IA 52241-1923

Mailing address

520 10TH Ave
Suite 200
Coralville, IA 52241-1923
Phone (319) 358-2406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150420000889 IA Order and Referring Only - Family PracticePractitioner - Family Practice 3375732001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33137IAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801821624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 10TH AVE",
            "address_2": "SUITE 200",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411923",
            "telephone_number": "319-358-2406",
            "fax_number": "319-358-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 10TH AVE",
            "address_2": "SUITE 200",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411923",
            "telephone_number": "319-358-2406",
            "fax_number": "319-358-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANAGHAN",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "33137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.