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DES MOINES ORTHOPAEDIC SURGEONS PC NPI 1851775746


NPI Information

NPI: 1851775746
Provider Name: DES MOINES ORTHOPAEDIC SURGEONS PC
Classification: Physician Assistant - 363A00000X
Entity Type: Organization

CLIA Number: 16D2286009

Address:
6001 WESTOWN PKWY
WEST DES MOINES, IA
ZIP 50266
Phone: (515) 224-1414
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DES MOINES ORTHOPAEDIC SURGEONS PC is a physician assistant in West Des Moines, IA. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. DES MOINES ORTHOPAEDIC SURGEONS PC NPI is 1851775746. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6001 WESTOWN PKWY
WEST DES MOINES, IA
ZIP 50266-702
Phone: (515) 224-1414
Fax: (515) 224-5140

The provider's authorized official is Kevin L Deronde .
The authorized official title is Corporate Administrator and has the following contact phone number (515) 224-1414.

The CLIA number assigned to this NPI record is 16D2286009 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/10/2015 and was last updated on 7/10/2015.


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
1363A00000XPhysician Assistant078992IOWAYes

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
1078992OTHERIOWAIOWA LICENSE

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

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