Jameson Orthopedic Clinic Pc

LBN: Jameson Orthopedic Clinic Pc
Jameson Orthopedic Clinic Pc is an health care organization with primary practice located at 1225 S Gear Ave Suite 159, West Burlington IA 52655-1691. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty. Jameson Orthopedic Clinic Pc can be contacted via phone (319) 752-4553, or through Jameson, Theron Quentin via phone (319) 752-4553.

Contact Information

Primary practice address
1225 S Gear Ave Suite 159 West Burlington IA 52655-1691
Phone: (319) 752-4553
Fax: (319) 753-0462
Website:
Map and Directions
Authorized official contact:
Name: Jameson, Theron Quentin Doctor of Osteopathy (DO)
Phone: (319) 752-4553

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X Iowa
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Iowa

Profile Details

NPI number 1154375731
LBN Legal business name Jameson Orthopedic Clinic Pc
DBA Doing business as
Authorized official Jameson, Theron Quentin Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2006
Last updated Oct 19th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154375731 NPPES
Iowa MEDICAID 0462325

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