Organization Active NPI

Msga LLC

  • Surgery Physician
  • Waterloo, IA
National Provider Identifier
1881439701
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MSGA LLC
Practice address
4150 Kimball Ave Ste 130
Waterloo, IA 50701-9086
Phone
(319) 235-5390
NPI assigned
Jul 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Dr. Benjamin Torrez
Title
Manager, President
Phone
(319) 290-7456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

4150 Kimball Ave Ste 130
Waterloo, IA 50701-9086

Mailing address

4150 Kimball Ave Ste 130
Waterloo, IA 50701-9086

National Provider Directory

National Provider Directory

Locations

4150 Kimball Ave
Ste 130
Waterloo, IA 50701
Phone (319) 235-5390

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1881439701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 KIMBALL AVE STE 130",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507019086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 KIMBALL AVE STE 130",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507019086",
            "telephone_number": "319-235-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSGA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "TORREZ",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "MANAGER, PRESIDENT",
        "authorized_official_telephone_number": "319-290-7456",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.