Provider Demographics
NPI:1639840333
Name:REXMD LLC
Entity Type:Organization
Organization Name:REXMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:REXROTH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:319-200-5900
Mailing Address - Street 1:4207 GLASS RD NE STE 2
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-2549
Mailing Address - Country:US
Mailing Address - Phone:319-200-5900
Mailing Address - Fax:319-200-5919
Practice Address - Street 1:4207 GLASS RD NE STE 2
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-2549
Practice Address - Country:US
Practice Address - Phone:319-200-5900
Practice Address - Fax:319-200-5919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-22
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty