Provider Demographics
NPI:1871519207
Name:NORTHWEST IOWA EMERGENCY PHYSICIANS, PC
Entity type:Organization
Organization Name:NORTHWEST IOWA EMERGENCY PHYSICIANS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:LIEWER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:712-279-5870
Mailing Address - Street 1:PO BOX 310047
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50331-0047
Mailing Address - Country:US
Mailing Address - Phone:888-398-6437
Mailing Address - Fax:
Practice Address - Street 1:801 5TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51101-1326
Practice Address - Country:US
Practice Address - Phone:712-279-2010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
33031OtherWELLAMRK BCBS
370039700OtherUS DEPT OF LABOR/DFEC
16D1008139OtherCLAI
IA0214353Medicaid
307509OtherCHAMPUS
NE=========13Medicaid
I0524Medicare ID - Type Unspecified