Provider Type Icon

PEDIATRIC & ADULT ALLERGY PC NPI 1609932201


NPI Information

NPI: 1609932201
Provider Name: PEDIATRIC & ADULT ALLERGY PC
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Organization

Specialization: Allergy

CLIA Number: 16D2035859

Address:
1212 PLEASANT ST
SUITE 110
DES MOINES, IA
ZIP 50309
Phone: (515) 244-7229
Get Directions

PEDIATRIC & ADULT ALLERGY PC is an allergy allergy immunology in Des Moines, IA. PEDIATRIC & ADULT ALLERGY PC NPI is 1609932201. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1212 PLEASANT ST
SUITE 110
DES MOINES, IA
ZIP 50309-410
Phone: (515) 244-7229

The provider's authorized official is Elizabeth Mary Schultz .
The authorized official title is Clinic Manager and has the following contact phone number (515) 244-7229.

The CLIA number assigned to this NPI record is 16D2035859 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 6/18/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207KA0200XAllergy & ImmunologyAllergyYes

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
10166314MEDICAIDIOWA
208218MEDICARE PINIOWA

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

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.