Provider Demographics
NPI:1275566770
Name:IOWA RURAL SURGICAL ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:IOWA RURAL SURGICAL ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGEON/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:RIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:641-672-2455
Mailing Address - Street 1:410 N 12TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OSKALOOSA
Mailing Address - State:IA
Mailing Address - Zip Code:52577-2495
Mailing Address - Country:US
Mailing Address - Phone:641-672-2455
Mailing Address - Fax:641-672-9262
Practice Address - Street 1:410 N 12TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:OSKALOOSA
Practice Address - State:IA
Practice Address - Zip Code:52577-2495
Practice Address - Country:US
Practice Address - Phone:641-672-2455
Practice Address - Fax:641-672-9262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IACJ2192OtherRAILROAD MEDICARE
IA0247775Medicaid
IAI3901Medicare PIN