DR. KEVIN POTHOVEN M.D. NPI 1053368498

NPI Information

NPI: 1053368498
Provider Name: DR. KEVIN POTHOVEN, M.D.
Classification: Emergency Medicine - 207PE0004X
Entity Type: Individual

Specialization: Emergency Medical Services

Organization: DES MOINES RIVER PHYSICIANS LLC

PECOS Registration: Yes

Address:
1111 6TH AVE
DES MOINES, IA
ZIP 50314
Phone: (515) 247-3211
Get Directions

DR. Kevin Pothoven, M.D. is an emergency medical services emergency medicine in Des Moines, IA with 23 years of experience. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. DR. Kevin Pothoven, M.D. NPI is 1053368498. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1111 6TH AVE
DES MOINES, IA
ZIP 50314-613
Phone: (515) 247-3211
Fax: (515) 643-8722

The NPI 1053368498 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/30/2006 and was last updated on 6/9/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207PE0004X	Emergency Medicine	Emergency Medical Services	4301078608	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	06127	OTHER	IOWA	BC/BS OF IOWA
2	104631572	MEDICAID	MICHIGAN
3	KP078608	OTHER	MICHIGAN	BC/BS OF MICHIGAN
4	I16220	MEDICARE UPIN	MICHIGAN
5	M48310092	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
6	104703457	MEDICAID	MICHIGAN
7	I20308	MEDICARE PIN	IOWA
8	I20309	MEDICARE PIN	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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