GRAND VIEW UNIVERSITY NPI 1861908089

NPI Information

  • NPI: 1861908089
  • Provider Name: GRAND VIEW UNIVERSITY
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • Doing Business As: GRAND VIEW HEALTH SERVICES
  • CLIA Number: 16D1073738
  • Address: 1200 GRANDVIEW AVE
    JOHNSON WELLNESS CENTER
    DES MOINE, IA
    ZIP 50316
  • Phone: (972) 367-4845

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NPI Details

GRAND VIEW UNIVERSITY is an adolescent medicine pediatrics in Des Moine, IA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. GRAND VIEW UNIVERSITY NPI is 1861908089. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Grand View Health Services.

The provider's business location address is:

1200 GRANDVIEW AVE
JOHNSON WELLNESS CENTER
DES MOINE, IA
ZIP 50316-529
Phone: (972) 367-4845

The provider's authorized official is Mouzon Bass .
The authorized official title is Agent and has the following contact phone number (972) 367-4845.

The CLIA number assigned to this NPI record is 16D1073738 - school/student health service with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/26/2017 and was last updated on 12/26/2017.

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
12080A0000XPediatricsAdolescent Medicine23873IOWAYes

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: 3/30/2025

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