Individual provider Active NPI

Amanda R Tew, D.O.

  • Family Medicine Physician
  • Clarion, IA
National Provider Identifier
1881691608
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3583 Issued in IA
Practice address
215 13TH Ave SW
Clarion, IA 50525-2078
Phone
(515) 532-2836
Fax
(515) 532-2523
NPI assigned
Jul 7, 2005
Last updated
Dec 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3583 IA Primary

Addresses

Primary practice location

215 13TH Ave SW
Clarion, IA 50525-2078

Mailing address

215 13TH Ave SW
Clarion, IA 50525-2078
Phone (515) 532-2836

Other identifiers 5

IdentifierTypeStateIssuer
163495OtherIAFAMILY PRACTICE CLINIC-MEDICARE
0600460OtherIAWRIGHT MEDICAL CENTER-MEDICAID
16Z302OtherIAWRIGHT MEDICAL CENTER-MEDICARE SKILLED
161302OtherIAWRIGHT MEDICAL CENTER-MEDICARE
0283465OtherIAFAMILY PRACTICE CLINIC-MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040831001273 IA Practitioner - Family Practice 0840265054 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Specialty Hospital- ClarionGroup PAC ID 3375451347, shared by 6 NPIs, 94 clinicians
Belmond Community HospitalGroup PAC ID 1052201852, shared by 7 NPIs, 86 clinicians

Practice addresses (Care Compare)

215 13TH Ave SW
Clarion Clinic
Clarion, IA 50525-2078
Phone (515) 532-2838

403 1St St SE
Belmond, IA 50421-1201

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3583IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Specialty Hospital- Clarion CurrentSince Aug 1, 2006 Accepting new patients
Iowa Specialty Hospital- Clarion Current Accepting new patients
Belmond Community Hospital Family Medicine CurrentSince Jul 1, 2013 Accepting new patients
Belmond Community Hospital Current Accepting new patients
Iowa Specialty Hospital- Clarion Past Accepting new patients
Iowa Specialty Hospital- Clarion Past Accepting new patients

Locations

403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223

1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811

215 13th Ave SW
Clarion, IA 50525
Phone (515) 532-2836

Interoperability endpoints

  • Direct secure messaging: atew84225@uihcdirect.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229040000000",
    "number": "1881691608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 13TH AVE SW",
            "city": "CLARION",
            "state": "IA",
            "postal_code": "505252078",
            "telephone_number": "515-532-2836",
            "fax_number": "515-532-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 13TH AVE SW",
            "city": "CLARION",
            "state": "IA",
            "postal_code": "505252078",
            "telephone_number": "515-532-2836",
            "fax_number": "515-532-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEW",
        "first_name": "AMANDA",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2008-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "3583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY PRACTICE CLINIC-MEDICARE",
            "identifier": "163495",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WRIGHT MEDICAL CENTER-MEDICAID",
            "identifier": "0600460",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WRIGHT MEDICAL CENTER-MEDICARE SKILLED",
            "identifier": "16Z302",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WRIGHT MEDICAL CENTER-MEDICARE",
            "identifier": "161302",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY PRACTICE CLINIC-MEDICAID",
            "identifier": "0283465",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarion, IA

Sources for this page

Verify at the official NPI Registry.