Active NPI
Medical Arts Clinic PC
- Family Medicine Physician
- Fairfield, IA
National Provider Identifier
1952482812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MEDICAL ARTS CLINIC PC
- Practice address
- 2000B South Main St
Fairfield, IA 52556-3740 - Phone
- (641) 472-4156
- Fax
- (641) 472-9436
- NPI assigned
- Oct 18, 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
- Donal Dean Hill, D.O.
- Title
- President
- Phone
- (641) 472-4156
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X |
Addresses
Primary practice location
2000B South Main St
Fairfield, IA 52556-3740
Mailing address
2000B South Main St
PO Box 1507
Fairfield, IA 52556-3740
Phone (641) 472-4156
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0099820 | Medicaid | IA | |
| 09982 | Other | IA | WELLMARK BCBS GROUP # |
National Provider Directory
National Provider DirectoryLocations
408 S Maple St
Fairfield, IA 52556
Phone (641) 451-0465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245369600000",
"number": "1952482812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000B SOUTH MAIN ST",
"address_2": "PO BOX 1507",
"city": "FAIRFIELD",
"state": "IA",
"postal_code": "525563740",
"telephone_number": "641-472-4156",
"fax_number": "641-472-9436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000B SOUTH MAIN ST",
"city": "FAIRFIELD",
"state": "IA",
"postal_code": "525563740",
"telephone_number": "641-472-4156",
"fax_number": "641-472-9436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL ARTS CLINIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2009-06-19",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "DONAL",
"authorized_official_middle_name": "DEAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "641-472-4156",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0099820",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS GROUP #",
"identifier": "09982",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.