Organization Active NPI

Orthopaedics PC

  • Orthopaedic Surgery Physician
  • Spencer, IA
National Provider Identifier
1861463473
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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

Updated by the provider on Jun 26, 2015

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0481754MedicaidIA
71119OtherIAWELLMARK SELECT
DE0140OtherIARAILROAD MEDICARE
0180034OtherUS DEPT OF LABOR & INDUST
204803800OtherUS DEPT OF LABOR (ACS)
71119OtherIABCBS OF IA
104435OtherHEALTH PARTNERS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.