HEALTHSOURCE OF IOWA CITY, PC
NPI 1336408640
Clinic/Center - Medical Specialty in Iowa City, IA

NPI Status: Active since May 07, 2012

Contact Information

960 S 1ST AVE
IOWA CITY, IA
ZIP 52245
Phone: (563) 508-9036

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  • Organization
  • Clinic/Center
  • Medical Specialty

About HEALTHSOURCE OF IOWA CITY, PC

This page provides the complete NPI Profile along with additional information for Healthsource Of Iowa City, Pc, a provider established in Iowa City, Iowa operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1336408640 assigned on May 2012. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. Jeffrey Wisdo Dc (President)

NPI
1336408640
Provider Name
HEALTHSOURCE OF IOWA CITY, PC
Entity Type
Organization
Location Address
960 S 1ST AVE IOWA CITY, IA 52245
Location Phone
(563) 508-9036
Mailing Address
960 S 1ST AVE IOWA CITY, IA 52245
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-07-2012
Last Update Date
05-07-2012
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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

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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

DR. JEFFREY WISDO DC

Authorized Official Title
PRESIDENT
Authorized Official Phone
(563) 508-9036

Reviews for HEALTHSOURCE OF IOWA CITY, PC

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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.
1336408640
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366801668
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 8 + 0 + 1 + 6 + 6 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1336408640 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215472626 MATTHEW BERRY PA-C
Individual
Physician Assistant960 S 1ST AVE
IOWA CITY, IA 52245
(319) 688-7777
1639549389MRS. PETRINA A NAUMAN MSN ARNP
Individual
Nurse Practitioner (Family)960 S 1ST AVE
IOWA CITY, IA 52245
(319) 688-7777

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336408640, enumerated in the NPI registry as an "organization" on May 07, 2012

The provider is located at 960 S 1st Ave Iowa City, Ia 52245 and the phone number is (563) 508-9036

This medical organization specializes in Clinic/Center with taxonomy code 261QM2500X with a focus in Medical Specialty

This NPI record was last updated on May 07, 2012. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.