Active NPI
Orthopaedics PC
- Orthopaedic Surgery Physician
- Spencer, IA
National Provider Identifier
1861463473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ORTHOPAEDICS PC
- Practice address
- 20 West 6TH St
Suite 1
Spencer, IA 51301 - Phone
- (712) 580-2022
- Fax
- (712) 580-2024
- NPI assigned
- Jan 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alexander Pruitt, MD
- Title
- President
- Phone
- (712) 580-2022
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | 5151790001 | IA |
Addresses
Primary practice location
20 West 6TH St
Suite 1
Spencer, IA 51301
Mailing address
20 West 6TH St
Suite 1
Spencer, IA 51301
Phone (712) 580-2022
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0481754 | Medicaid | IA | |
| 71119 | Other | IA | WELLMARK SELECT |
| DE0140 | Other | IA | RAILROAD MEDICARE |
| 0180034 | Other | US DEPT OF LABOR & INDUST | |
| 204803800 | Other | US DEPT OF LABOR (ACS) | |
| 71119 | Other | IA | BCBS OF IA |
| 104435 | Other | HEALTH PARTNERS |
National Provider Directory
National Provider DirectoryLocations
20 W 6th St
Ste 1
Spencer, IA 51301
Phone (515) 574-6880
3305 Bergquist Ave
Spirit Lake, IA 51360
Phone (712) 339-6024
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Spirit Lake, IA
- NPI 1043207939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435276800000",
"number": "1861463473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 WEST 6TH ST",
"address_2": "SUITE 1",
"city": "SPENCER",
"state": "IA",
"postal_code": "51301",
"telephone_number": "712-580-2022",
"fax_number": "712-580-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 WEST 6TH ST",
"address_2": "SUITE 1",
"city": "SPENCER",
"state": "IA",
"postal_code": "51301",
"telephone_number": "712-580-2022",
"fax_number": "712-580-2024"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPAEDICS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-31",
"last_updated": "2015-06-26",
"status": "A",
"authorized_official_last_name": "PRUITT",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "712-580-2022",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "IA",
"license": "5151790001",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0481754",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK SELECT",
"identifier": "71119",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DE0140",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR & INDUST",
"identifier": "0180034",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR (ACS)",
"identifier": "204803800",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IA",
"identifier": "71119",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "104435",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spencer, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.