Donald R Wirtanen DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02100 Issued in IA

Legal business name

DONALD R WIRTANEN DO

Practice address

202 N Madison St
Bloomfield, IA 52537-1425

Phone

(641) 664-1400

Fax

(641) 664-1410

NPI assigned

Jun 28, 2007

Last updated

Jun 4, 2010By 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

Kelli L Klum

Title

Insurance Manager

Phone

(641) 664-1400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Dianne Kay Knapp, ARNP

  • Family Nurse Practitioner
  • Bloomfield, IA
  • NPI 1760482426
  NPD (past)
• Donald Richard Wirtanen, D.O.

  • Family Medicine Physician
  • Bloomfield, IA
  • NPI 1184623985
  NPD (past)

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1821295494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N MADISON ST",
            "city": "BLOOMFIELD",
            "state": "IA",
            "postal_code": "525371425",
            "telephone_number": "641-664-1400",
            "fax_number": "641-664-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N MADISON ST",
            "city": "BLOOMFIELD",
            "state": "IA",
            "postal_code": "525371425",
            "telephone_number": "641-664-1400",
            "fax_number": "641-664-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD R WIRTANEN DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "KLUM",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "641-664-1400"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "02100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821295494",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Davis County Hospital
• Kristin Davis
• Justin Thomas Dawson, PHARMD
• Jalyn Day, LMSW
• Distaff Professionals, LLC
• Draughn Dental Care LLC
• Melissa Shea Draughn Williams, DDS
• Catherine Marie Durflinger, ARNP
• Jill Ferrell, CRNA
• Fetcho Family Chiropractic LLC

• Family Medicine Physician in Bloomfield, IA
• Providers in Bloomfield, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.