FAMILY PHYSICIANS OF CEDAR RAPIDS, P.C.
NPI 1285663849
Family Medicine in Cedar Rapids, IA

Active since July 03, 2006CLIA 16D0386967 · Waiver
1515 42ND ST NE, CEDAR RAPIDS, IA 52402(319) 365-7581(319) 365-0163 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Family Physicians Of Cedar Rapids, P.c. NPPES

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

FAMILY PHYSICIANS OF CEDAR RAPIDS, P.C. (NPI 1285663849) is a healthcare organization registered as a family medicine in Cedar Rapids, Iowa and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through July 31, 2026, maintains a secondary practice location in Cedar Rapids, and lists Mark J Goedken, President, as its authorized official.

NPPES Registry Identity

NPI1285663849
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY PHYSICIANS OF CEDAR RAPIDS, P.C.
Location Address1515 42ND ST NECedar Rapids, IA 52402-3061
Mailing Address1515 42nd St NeCedar Rapids, IA 52402-3061 · (319) 365-7581 · Fax (319) 365-0163
Fax(319) 365-0163
Organization SubpartNo
Authorized OfficialMark J GoedkenPresident · (319) 365-7581
Enumeration DateJuly 3, 2006
Last NPPES UpdateJune 23, 2022
NPPES CertifiedJune 23, 2022
NPI 1285663849 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.

1515 42ND ST NE, Cedar Rapids, IA 52402

Secondary Practice Location 1

Location 1811 5th Ave SECedar Rapids, IA 52403-2421 · Phone (319) 365-7581 · Fax (319) 365-0163

Other Identifiers 2

Medicaid0154682IA
Other15468IA · Clinic Number

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

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 16D0386967

Family Physicians Of Cedar Rapids · Cedar Rapids, IA
Active · expires Jul 31, 2026
CLIA Number16D0386967
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorMark J. Goedken
Laboratory Phone(319) 365-7581
Laboratory LocationFamily Physicians Of Cedar Rapids1515 42nd St NE, Cedar Rapids, IA 52402
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 3

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

Family Medicine
1515 42ND ST NE
CEDAR RAPIDS, IA 52402
Family Medicine
1515 42ND ST NE
CEDAR RAPIDS, IA 52402
Family Medicine
1515 42ND ST NE
CEDAR RAPIDS, IA 52402

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285663849, enumerated as an "organization" on July 03, 2006.

The provider is located at 1515 42ND ST NE CEDAR RAPIDS, IA 52402 and the phone number is (319) 365-7581.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.