Healthcare Provider Details

I. General information

NPI: 1942276621
Provider Name (Legal Business Name): STEINDLER ORTHOPEDIC CLINIC, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 STEINDLER WAY STE B
NORTH LIBERTY IA
52317-7907
US

IV. Provider business mailing address

2301 STEINDLER WAY STE B
NORTH LIBERTY IA
52317-7907
US

V. Phone/Fax

Practice location:
  • Phone: 319-338-3606
  • Fax: 319-338-0522
Mailing address:
  • Phone: 319-338-3606
  • Fax: 319-338-0522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State
# 8
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: MR. EDWARD PATRICK MAGALLANES
Title or Position: CEO
Credential: JD,MBA, MPA, FACHE
Phone: 319-338-3606