Physmed Iowa LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PHYSMED IOWA LLC

Practice address

1130 S Scott Blvd
Iowa City, IA 52240-2907

Phone

(402) 320-3939

Fax

(402) 926-4197

NPI assigned

Jan 11, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Jacob Keith Panowicz

Title

Owner/Ceo

Phone

(402) 926-4088

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547164800000",
    "number": "1992279095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 S 107TH AVE STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271965",
            "telephone_number": "402-926-4088",
            "fax_number": "402-926-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 S SCOTT BLVD",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522402907",
            "telephone_number": "402-320-3939",
            "fax_number": "402-926-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSMED IOWA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A",
        "authorized_official_last_name": "PANOWICZ",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "402-926-4088",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorita Lynn Phillips, PA
• Robert Reynold Phillips III
• Physician Anesthesia Care of Iowa City PC
• Physiotherapy Associates Inc
• Physmed Iowa LLC
• Htay Phyu, M.D.,
• Tarin Piangsuk, DDS
• Kermshlise Cathchusca Ilitcha Picard, MD
• Jesus Manuel Pichardo Jr., PH.D.
• Marra Jeane Burr Pienta, PHARM.D., BCACP

• Home Health Agency in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Home Health Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.