# MARSHALLTOWN ORTHOPAEDICS PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARSHALLTOWN ORTHOPAEDICS PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215920020
- **Legal business name:** MARSHALLTOWN ORTHOPAEDICS PC
- **Authorized official:** MRS. KATHY A CLAWSON (OFFICE MANAGER)
- **Authorized official phone:** (641) 752-7191

## Contact information

- **Practice address:** 312 E MAIN ST, SUITE 2400, MARSHALLTOWN, IA 50158-1888
- **Practice address phone:** (641) 752-7191
- **Practice address fax:** (641) 752-2781
- **Mailing address:** 312 E MAIN ST, SUITE 2400, MARSHALLTOWN, IA 50158-1888
- **Mailing address phone:** (641) 752-7191
- **Mailing address fax:** (641) 752-2781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 08/26/2005
- **Last updated:** 09/24/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0078436 | — | IA |
| 01 | — | 0299100001 | MEDICARE DURABLE MED EQUI | IA |
| 01 | — | 07843 | WELLMARK BCBS | IA |