Organization Active NPI

Medical Associates of Independence

  • Family Medicine Physician
  • Independence, IA
National Provider Identifier
1821086893
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDICAL ASSOCIATES OF INDEPENDENCE
Practice address
1100 1St St E
Independence, IA 50644-3116
Phone
(319) 334-2541
Fax
(319) 334-7054
NPI assigned
Oct 12, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Duane Donald Jasper, M.D.,F.P.NPI 1326035783
Title
Partner
Phone
(319) 334-2541

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X IA Primary

Addresses

Primary practice location

1100 1St St E
Independence, IA 50644-3116

Mailing address

1100 1St St E
PO Box 351
Independence, IA 50644-3116
Phone (319) 334-2541

National Provider Directory

National Provider Directory

Locations

1100 1st St E
#8709
Independence, IA 50644

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.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1821086893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 1ST ST E",
            "address_2": "PO BOX 351",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506443116",
            "telephone_number": "319-334-2541",
            "fax_number": "319-334-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 1ST ST E",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506443116",
            "telephone_number": "319-334-2541",
            "fax_number": "319-334-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF INDEPENDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JASPER",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "319-334-2541",
        "authorized_official_credential": "M.D.,F.P."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.