Provider Type Icon

WEST GRAND MEDICAL ASSOCIATESP.C. NPI 1093795411


NPI Information

NPI: 1093795411
Provider Name: WEST GRAND MEDICAL ASSOCIATES,P.C.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
119 19TH ST
STE 106
WEST DES MOINES, IA
ZIP 50265
Phone: (515) 226-0112
Get Directions

WEST GRAND MEDICAL ASSOCIATES,P.C. is a family medicine in West 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. WEST GRAND MEDICAL ASSOCIATES,P.C. NPI is 1093795411. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

119 19TH ST
STE 106
WEST DES MOINES, IA
ZIP 50265-226
Phone: (515) 226-0112
Fax: (515) 226-0208

The provider's authorized official is Robert H Major .
The authorized official title is Physician and has the following contact phone number (515) 226-0112.

The enumeration date for this NPI number is 1/20/2006 and was last updated on 8/2/2011.


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
1207Q00000XFamily Medicine25404IOWANo
2207Q00000XFamily Medicine001418IOWANo
3207Q00000XFamily Medicine3475IOWAYes

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
1A02944MEDICARE UPIN
2I12941MEDICARE ID-TYPE UNSPECIFIEDIOWA
31236604MEDICAIDIOWA
40283879MEDICAIDIOWA
536457OTHERBLUE CROSS
6080035337OTHERIOWARR MEDICARE
725797MEDICARE ID-TYPE UNSPECIFIEDIOWA
8H98743MEDICARE UPIN
9IA0102OTHERIOWAJOHN DEERE
10IA0111OTHERIOWAJOHN DEERE
111430231MEDICAIDIOWA

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.