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CAPITAL ORTHOPAEDICS AND SPORTS MEDICINE PC NPI 1932432457


NPI Information

NPI: 1932432457
Provider Name: CAPITAL ORTHOPAEDICS AND SPORTS MEDICINE PC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
12499 UNIVERSITY AVE
SUITE 210
CLIVE, IA
ZIP 50325
Phone: (515) 440-2676
Get Directions

CAPITAL ORTHOPAEDICS AND SPORTS MEDICINE PC is an orthopaedic surgery in Clive, IA. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. CAPITAL ORTHOPAEDICS AND SPORTS MEDICINE PC NPI is 1932432457. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12499 UNIVERSITY AVE
SUITE 210
CLIVE, IA
ZIP 50325-281
Phone: (515) 440-2676
Fax: (515) 440-2677

The provider's authorized official is William Charles Jacobson .
The authorized official title is Shareholder and has the following contact phone number (515) 440-2676.

The enumeration date for this NPI number is 9/16/2009 and was last updated on 1/22/2013.


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
1207XS0106XOrthopaedic SurgeryHand Surgery26239IOWANo
2207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine19337IOWANo
3207XX0005XOrthopaedic SurgerySports Medicine33389IOWANo
4208100000XPhysical Medicine & Rehabilitation27587IOWANo
52086S0105XSurgerySurgery of the Hand37744IOWANo
6213ES0103XPodiatristFoot & Ankle Surgery00693IOWANo
7207X00000XOrthopaedic SurgeryIOWAYes

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
1IB1555MEDICARE PINIOWA
21932432457MEDICAIDIOWA

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.