DUBUQUE PODIATRY PC NPI 1417920265

NPI Information

NPI: 1417920265
Provider Name: DUBUQUE PODIATRY PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1500 DELHI ST
SUITE 2200
DUBUQUE, IA
ZIP 52001
Phone: (563) 557-5930
Get Directions

DUBUQUE PODIATRY PC is a foot and ankle surgery podiatrist in Dubuque, IA. DUBUQUE PODIATRY PC NPI is 1417920265. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1500 DELHI ST
SUITE 2200
DUBUQUE, IA
ZIP 52001-358
Phone: (563) 557-5930
Fax: (563) 557-5936

The provider's authorized official is Michael W Ward .
The authorized official title is Executive Officer and has the following contact phone number (563) 557-5930.

The enumeration date for this NPI number is 2/10/2006 and was last updated on 11/11/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery		IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0133959	MEDICAID	IOWA
2	CD8232	OTHER	IOWA	RAILROAD MEDICARE GRP NUM
3	3983020001	MEDICARE NSC	IOWA
4	53088	MEDICARE PIN	IOWA
5	44134	OTHER	IOWA	GROUP BLS NUMBER
6	04332003	OTHER	ILLINOIS	BLUE SHIELD GRP NUMBER
7	543190	MEDICARE PIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »