Active NPI
Clinical Radiologists, PC
- Radiation Oncology Physician
- Waterloo, IA
National Provider Identifier
1912965872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- CLINICAL RADIOLOGISTS, PC
- Practice address
- 200 E Ridgeway Ave
Waterloo, IA 50702-5060 - Phone
- (319) 272-2800
- Fax
- (319) 272-2807
- NPI assigned
- May 2, 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
- Joseph R Hooyman, M.D.
- Title
- Owner
- Phone
- (319) 233-3044
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary |
Addresses
Primary practice location
200 E Ridgeway Ave
Waterloo, IA 50702-5060
Mailing address
PO Box 2910
Waterloo, IA 50704-2910
Phone (319) 233-3044
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26890 | Other | IA | BLUE SHIELD |
| 0005066 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
200 E Ridgeway Ave
Waterloo, IA 50702
Phone (319) 272-2070
999 Home Plz
Fl 2
Waterloo, IA 50701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1912965872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2910",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507042910",
"telephone_number": "319-233-3044",
"fax_number": "319-233-0722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E RIDGEWAY AVE",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507025060",
"telephone_number": "319-272-2800",
"fax_number": "319-272-2807"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINICAL RADIOLOGISTS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HOOYMAN",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "319-233-3044",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "26890",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005066",
"state": "IA"
}
],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.