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DES MOINES UNIVERSITY OSTEOPATHIC MEDICAL CENTER NPI 1164475760


NPI Information

NPI: 1164475760
Provider Name: DES MOINES UNIVERSITY OSTEOPATHIC MEDICAL CENTER

Doing Business As: DES MOINES UNIVERSITY CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3200 GRAND AVE
DES MOINES, IA
ZIP 50312
Phone: (515) 471-9243
Get Directions

DES MOINES UNIVERSITY OSTEOPATHIC MEDICAL CENTER is a family medicine in Des Moines, IA. The provider is 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. DES MOINES UNIVERSITY OSTEOPATHIC MEDICAL CENTER NPI is 1164475760. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Des Moines University Clinic.

The provider's business location address is:

3200 GRAND AVE
DES MOINES, IA
ZIP 50312-104
Phone: (515) 471-9243
Fax: (515) 471-9319

The provider's authorized official is Philip C. Blumberg .
The authorized official title is Administrator and has the following contact phone number (515) 271-1574.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 8/12/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalNo
2204D00000XNeuromusculoskeletal Medicine & OMMIOWANo
3207R00000XInternal MedicineIOWANo
4208100000XPhysical Medicine & RehabilitationIOWANo
52084P0800XPsychiatry & NeurologyPsychiatryNo
62085R0202XRadiologyDiagnostic RadiologyIOWANo
7208D00000XGeneral PracticeIOWANo
8213EP1101XPodiatristPrimary Podiatric MedicineIOWANo
9213ES0103XPodiatristFoot & Ankle SurgeryIOWANo
10225100000XPhysical TherapistIOWANo
11225X00000XOccupational TherapistIOWANo
12363A00000XPhysician AssistantIOWANo
13363A00000XPhysician AssistantNo
14207Q00000XFamily MedicineIOWAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CQ2071OTHERIOWARR MEDICARE
20255182MEDICAIDIOWA
30255166MEDICAIDIOWA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.