Active NPI
Thomas Frederic Viner, MD
- Otolaryngology/Facial Plastic Surgery Physician
- Iowa City, IA
National Provider Identifier
1902844145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 19539
- Practice address
- 2615 Northgate Dr
Iowa City, IA 52245-9565 - Phone
- (319) 351-5680
- Fax
- (319) 351-8980
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 19539 | IA | Primary |
Addresses
Primary practice location
2615 Northgate Dr
Iowa City, IA 52245-9565
Mailing address
2615 Northgate Dr
Iowa City, IA 52245-9565
Phone (319) 351-5680
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15812 | Other | IA | WELLMARK |
| 0158121 | Medicaid | IA | |
| 040004101 | Other | RAILROAD MEDICARE | |
| 0423459 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19539 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT Medical Services Sleep Supply, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Iowa City, IA
- NPI 1942404140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309305600000",
"number": "1902844145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2615 NORTHGATE DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522459565",
"telephone_number": "319-351-5680",
"fax_number": "319-351-8980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 NORTHGATE DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522459565",
"telephone_number": "319-351-5680",
"fax_number": "319-351-8980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINER",
"first_name": "THOMAS",
"middle_name": "FREDERIC",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2011-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "IA",
"license": "19539",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "15812",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0158121",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "040004101",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0423459",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.