Organization Active NPI

Medical Arts Clinic PC

  • Family Medicine Physician
  • Fairfield, IA
National Provider Identifier
1952482812
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Jun 19, 2009

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0099820MedicaidIA
09982OtherIAWELLMARK BCBS GROUP #

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.