FAMILY MEDICINE CLINIC, PC
NPI 1063418820
Family Medicine in Onawa, IA

Q: What is Family Medicine Clinic, PC's NPI number?

The NPI number for Family Medicine Clinic, PC is 1063418820. It was assigned to this organization in the NPPES registry on June 24, 2005.

Q: What is Family Medicine Clinic, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 24, 2005CLIA 16D0385125 · Waiver

1614 DIAMOND STREET PL, ONAWA, IA 51040(712) 423-1525(712) 423-2528 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Family Medicine Clinic, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY MEDICINE CLINIC, PC (NPI 1063418820) is a healthcare organization registered as a family medicine in Onawa, Iowa and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through October 31, 2027 and lists Paul Edward Dudley, President, as its authorized official.

NPPES Registry Identity

NPI1063418820

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameFAMILY MEDICINE CLINIC, PC

Location Address1614 DIAMOND STREET PLOnawa, IA 51040-1554

Mailing Address1614 Diamond Street PlOnawa, IA 51040-1554 · (712) 423-1525 · Fax (712) 423-2528

Phone(712) 423-1525

Fax(712) 423-2528

Organization SubpartNo

Authorized OfficialPaul Edward DudleyPresident · (712) 423-1525

Enumeration DateJune 24, 2005

Last NPPES UpdateJuly 21, 2022

✔ NPI 1063418820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1614 DIAMOND STREET PL, Onawa, IA 51040

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Other Identifiers 3

Medicaid0638312IA

Other63831IA · Blue Shield

OtherCQ2293IA · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D0385125

Family Medicine Clinic · Onawa, IA

Active · expires Oct 31, 2027

CLIA Number16D0385125

Laboratory TypePhysician Office

Certificate Effective DateNovember 1, 2025

Certificate Expiration DateOctober 31, 2027

Laboratory DirectorPaul E. Dudley, MD

Laboratory Phone(712) 423-1525

Laboratory LocationFamily Medicine Clinic1614 Diamond Street Place, Onawa, IA 51040

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHRYN MOORE ARNP

Family Medicine