Organization Active NPI

Family Medicine Associates PC

  • Family Medicine Physician
  • Edgewood, IA
National Provider Identifier
1972671493
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICINE ASSOCIATES PC
Practice address
101 South Washington
Edgewood, IA 52042
Phone
(563) 928-6435
NPI assigned
Dec 1, 2006
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Mrs. Linda Lee Aulwes
Title
Clinic Manager
Phone
(563) 252-2141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X IA Primary

Addresses

Primary practice location

101 South Washington
Edgewood, IA 52042

Mailing address

101 South Washington
Edgewood, IA 52042
Phone (563) 928-6435

Other identifiers 2

IdentifierTypeStateIssuer
14482OtherIABILLING NUMBER
0689117MedicaidIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1972671493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SOUTH WASHINGTON",
            "city": "EDGEWOOD",
            "state": "IA",
            "postal_code": "52042",
            "telephone_number": "563-928-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SOUTH WASHINGTON",
            "city": "EDGEWOOD",
            "state": "IA",
            "postal_code": "52042",
            "telephone_number": "563-928-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "AULWES",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "563-252-2141",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BILLING NUMBER",
            "identifier": "14482",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0689117",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.