Active NPI
Michael R Atherley, PA-C
- Physician Assistant
- Oelwein, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 907
- Practice address
- 129 8TH Ave SE
Oelwein, IA 50662-2352 - Phone
- (319) 283-6153
- Fax
- (319) 283-6151
- NPI assigned
- Jun 8, 2006
- Last updated
- Jul 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 907 | IA | Primary |
Addresses
Primary practice location
129 8TH Ave SE
Oelwein, IA 50662-2352
Mailing address
2101 Kimball Ave
LL14
Waterloo, IA 50702-5063
Phone (319) 272-1590
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
129 8TH Ave SE
Oelwein, IA 50662-2352
226 Bluebell Rd
Cedar Falls, IA 50613-6328
Phone (319) 575-5800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 907 | IA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Center Inc | Physician Assistant | Current | Accepting new patients |
| Covenant Medical Center, Inc. | Current | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Locations
751 Main St
Arlington, IA 50606
Phone (563) 633-6965
226 Bluebell Rd
Cedar Falls, IA 50613
Phone (319) 575-5800
129 8th Ave SE
Oelwein, IA 50662
Phone (319) 283-6153
2101 Kimball Ave
#14
Waterloo, IA 50702
3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050
Interoperability endpoints
- matherley3929915@direct.trinity-health.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MercyOne Medical Group Northeast Iowa
- Family Medicine Physician
- Waterloo, IA
- NPI 1548288160
Physician Assistant
-
dba MercyOne Evansdale home medical equipment
- Customized Equipment (DME)
- Evansdale, IA
- NPI 1851141980
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MercyOne Waterloo Medical Center
- General Acute Care Hospital
- Waterloo, IA
- NPI 1700827896
-
dba MercyOne Oelwein Medical Center
- Critical Access Hospital
- Oelwein, IA
- NPI 1528009511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1801837323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 KIMBALL AVE",
"address_2": "LL14",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507025063",
"telephone_number": "319-272-1590",
"fax_number": "319-272-1535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 8TH AVE SE",
"city": "OELWEIN",
"state": "IA",
"postal_code": "506622352",
"telephone_number": "319-283-6153",
"fax_number": "319-283-6151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATHERLEY",
"first_name": "MICHAEL",
"middle_name": "R",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oelwein, IA
- Abcm Corporation (Healthy Living Home Care by Oelwein Health Care Center)
- Abcm Corporation (Oelwein Healthcare Center)
- Abcm Corporation (Grandview Healthcare Center)
- Abilit Holdings (Oelwein) LLC (Arlington Place of Oelwein)
- Arlington Place Assisted Living of Oelwein
- Kyla Danielle Bentley, DPT
- Sara Ann Berns, PA-C
- Berryman Family Dentistry, Inc. (Berryman Family Dentistry)
- Clinton Thomas Berryman, DDS
- Adria Booth-Tyler
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.