NPIMap

Organization Active NPI

Iowa Lakes Orthopaedics , P.C.

  • Orthopaedic Surgery Physician
  • Spirit Lake, IA
National Provider Identifier
1952363608
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
IOWA LAKES ORTHOPAEDICS , P.C.
Doing business as
Iowa Lakes Orthopaedics
Practice address
2309 23Rd St.
Spirit Lake, IA 51360-0273
Phone
(712) 336-5311
Fax
(712) 336-0020
NPI assigned
Apr 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Authorized official

Name
Mr. Gregory Shell
Title
Clinic Administrator
Phone
(712) 336-5311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

2309 23Rd St.
Spirit Lake, IA 51360-0273

Mailing address

2309 23Rd St.
P. O. Box 273
Spirit Lake, IA 51360-0273
Phone (712) 336-5311

Other identifiers 2

IdentifierTypeStateIssuer
0070292MedicaidIA
2401560MedicaidMN

Other names 1

  • Iowa Lakes Orthopaedics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1952363608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 23RD ST.",
            "address_2": "P. O. BOX 273",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513600273",
            "telephone_number": "712-336-5311",
            "fax_number": "712-336-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 23RD ST.",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513600273",
            "telephone_number": "712-336-5311",
            "fax_number": "712-336-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA LAKES ORTHOPAEDICS , P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "SHELL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "712-336-5311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0070292",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2401560",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iowa Lakes Orthopaedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spirit Lake, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.