Organization Active NPI

Westside Orthopaedics, P.C.

Doing business as Westside Occupational Health

  • Specialist
  • Dubuque, IA
National Provider Identifier
1972572402
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
21791 Issued in IA
Legal business name
WESTSIDE ORTHOPAEDICS, P.C.
Doing business as
Westside Occupational Health
Practice address
4005 Westmark Dr
Ste. 200
Dubuque, IA 52002-2271
Phone
(563) 582-6202
Fax
(563) 582-5909
NPI assigned
Mar 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Authorized official

Name
Mrs. Holly Field
Title
Administrator
Phone
(563) 582-6202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 21791 IA Primary

Addresses

Primary practice location

4005 Westmark Dr
Ste. 200
Dubuque, IA 52002-2271

Mailing address

4005 Westmark Dr
Ste. 200
Dubuque, IA 52002-2271
Phone (563) 582-6202

Other identifiers 1

IdentifierTypeStateIssuer
0274902MedicaidIA

Other names 1

  • Westside Occupational Health 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": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1972572402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 WESTMARK DR",
            "address_2": "STE. 200",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022271",
            "telephone_number": "563-582-6202",
            "fax_number": "563-582-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 WESTMARK DR",
            "address_2": "STE. 200",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022271",
            "telephone_number": "563-582-6202",
            "fax_number": "563-582-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE ORTHOPAEDICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "FIELD",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "563-582-6202",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IA",
            "license": "21791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0274902",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westside Occupational Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.