UNIVERSITY OF IOWA CHILDREN'S HOSPITAL GEN PEDIATRICS-NORTH LIBERTY
NPI 1063802791
Pediatrics in North Liberty, IA

NPI Status: Active since February 03, 2015

Contact Information

1765 LININGER LN
NORTH LIBERTY, IA
ZIP 52317
Phone: (319) 467-7888
Fax: (319) 467-7889

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  • Organization
  • Pediatrics
  • Accepts Insurance
  • CLIA Number: 16D2318799
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 02-17-2027

About UNIVERSITY OF IOWA CHILDREN'S HOSPITAL GEN PEDIATRICS-NORTH LIBERTY

This page provides the complete NPI Profile along with additional information for University Of Iowa Children's Hospital Gen Pediatrics-north Liberty, a pediatrician established in North Liberty, Iowa operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1063802791 assigned on February 2015. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as University Of Iowa Children's Hospital Gen Pediatrics-north Liberty. The authorized official of this NPI record is Philip E Roudabush (Director, Patient Financial Service)

NPI
1063802791
Provider Legal Name
STATE UNIVERSITY OF IOWA
Other Organization Name
UNIVERSITY OF IOWA CHILDREN'S HOSPITAL GEN PEDIATRICS-NORTH LIBERTY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1765 LININGER LN NORTH LIBERTY, IA 52317
Location Phone
(319) 467-7888
Location Fax
(319) 467-7889
Mailing Address
1765 LININGER LN NORTH LIBERTY, IA 52317
Mailing Phone
(319) 467-7888
Mailing Fax
(319) 467-7889
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-03-2015
Last Update Date
02-19-2015
Code Navigator

A pediatrician like University Of Iowa Children's Hospital Gen Pediatrics-north Liberty is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,000 - PPO
  • Sanford Individual Simplicity $7,100 HSA Qualified - PPO
  • Sanford Individual Simplicity $9,200 - PPO
  • Sanford Individual Simplicity Standardized $1,500 - PPO
  • Sanford Individual Simplicity Standardized $5,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PHILIP E ROUDABUSH

Authorized Official Title
DIRECTOR, PATIENT FINANCIAL SERVICE
Authorized Official Phone
(319) 384-2334

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
16D2318799
Facility Type
Hospital
Certificate Effective Date
February 18, 2025
Certificate Expiration Date
February 17, 2027
Laboratory Director
MATTHEW D. KRASOWSKI
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to University Of Iowa Children's Hospital Gen Pediatrics-north Liberty on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for UNIVERSITY OF IOWA CHILDREN'S HOSPITAL GEN PEDIATRICS-NORTH LIBERTY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063802791
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201231604718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 6 + 0 + 4 + 7 + 1 + 8 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1063802791 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1932169778 AMY ANDERSEN MD
Individual
Family Medicine1765 LININGER LN
NORTH LIBERTY, IA 52317
(319) 665-3055
1891843835T ZENON PHARMACEUTICALS LLC
Organization
Pharmacy (Clinic Pharmacy)1765 LININGER LN
NORTH LIBERTY, IA 52317
(319) 626-6020
1982918488MR. THOMAS GREGORY DRAHOS PA-C
Individual
Physician Assistant1765 LININGER LN
NORTH LIBERTY, IA 52317
(319) 665-3053
1306118310MERCY PHYSICIAN ASSOCIATES, INC
Organization
Family Medicine1765 LININGER LN
NORTH LIBERTY, IA 52317
(319) 665-3053
1568716637 SHELLIE MARIE O'BRIEN-PERRY ARNP-C
Individual
Nurse Practitioner1765 LININGER LN
NORTH LIBERTY, IA 52317
(319) 665-3053
1811233174KENGARD ENTERPRISES LLC
Organization
Durable Medical Equipment & Medical Supplies1765 LININGER LN SUITE 300
NORTH LIBERTY, IA 52317
(319) 626-6020
1851730238MRS. MEGHAN MICHELLE COOLEY DNP, FNP-C
Individual
Nurse Practitioner (Family)1765 LININGER LN
NORTH LIBERTY, IA 52317
(319) 665-3054
1619153608 MADONNA SUSAN CARR P.A.-C
Individual
Physician Assistant (Medical)1765 LININGER LN
NORTH LIBERTY, IA 52317
(319) 665-3073
1679664726DR. HAO P TRAN M.D.
Individual
Pediatrics1765 LININGER LN
NORTH LIBERTY, IA 52317
(319) 467-7888
1902032444DR. ANA A CARY M.D.
Individual
Pediatrics1765 LININGER LN
NORTH LIBERTY, IA 52317
(319) 467-7888
1124389176 STACIE ANN KASPER
Individual
Family Medicine1765 LININGER LN
NORTH LIBERTY, IA 52317
(319) 467-7888
1932188380 KATHARINE JENNIFER LOUIS SAUNDERS MD
Individual
Family Medicine1765 LININGER LN
NORTH LIBERTY, IA 52317
(319) 467-7888
1609588672 ALEXIS VINCENT PA-C
Individual
Family Medicine1765 LININGER LN
NORTH LIBERTY, IA 52317
(319) 665-3053
1649246083 ASHLEY BROWN MD
Individual
Pediatrics1765 LININGER LN
NORTH LIBERTY, IA 52317
(319) 467-7888

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063802791, enumerated in the NPI registry as an "organization" on February 03, 2015

The provider is located at 1765 Lininger Ln North Liberty, Ia 52317 and the phone number is (319) 467-7888

This medical organization specializes in Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Medica and Sanford Health Plan. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 16D2318799 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on February 03, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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