Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 36461 | IA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 36461 | IA |
NPI | 1467421487 |
---|---|
Provider Name | John E Femino |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 30/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0481655 | (05) | IA |
06073 | WELLMARK BCBS (01) | IA |
G81120 | (02) |