DR. KEVIN POTHOVEN


Address: 1111 6th Ave, Des Moines, IA 50314-2613
Phone: 5152473211

DR. KEVIN POTHOVEN (NPI# 1053368498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053368498
Entity Type Individual
Full Name DR. KEVIN POTHOVEN
Credential M.D.
Practice Address 1111 6th Ave
Des Moines
IA 50314-2613
Mailing Address Po Box 4925
Des Moines
IA 50305-4925
Practice Telephone 5152473211
Practice Fax Number 5156438722
Mailing Telephone 5156434374
Mailing Fax Number 5156432784
Enumeration Date 2006-05-30
Last Update Date 2009-06-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
4301078608 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI BC/BS OF MICHIGAN KP078608 01
IA BC/BS OF IOWA 06127 01
MI 104631572 05
MI 104703457 05

Office Location

Street Address 1111 6TH AVE
City DES MOINES
State IA
Zip Code 50314-2613

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790785004 Keven Odell Cutler Emergency Medicine 1111 6th Ave, Emergency Dept, Des Moines, IA 50314-2613 2005-07-28
1508470014 Tammie Jordan Pharmacist 1111 6th Ave, Des Moines, IA 50314-2613 2020-09-02
1942812243 Samantha Marie Ulsh Nurse Practitioner 1111 6th Ave, Des Moines, IA 50314-2613 2020-08-18
1962020677 Jordyn Hauser Dietitian, Registered 1111 6th Ave, Des Moines, IA 50314-2613 2020-07-09
1659996528 Doh Joon Park Internal Medicine 1111 6th Ave, Des Moines, IA 50314-2613 2020-06-16
1508481623 Maianh T Tran Surgery 1111 6th Ave, Des Moines, IA 50314-2613 2020-06-15
1083239081 Max E Reiche Family Medicine 1111 6th Ave, Des Moines, IA 50314-2613 2020-06-15
1760007488 Obidike P Nwadike Family Medicine 1111 6th Ave, Des Moines, IA 50314-2613 2020-06-09
1154945970 Jason C Wang Internal Medicine 1111 6th Ave, Des Moines, IA 50314-2613 2020-06-08
1588288435 Elliot M Deblieck Family Medicine 1111 6th Ave, Des Moines, IA 50314-2613 2020-06-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982266979 Dental Connections, Inc. Dentist 1111 9th Street, Suite 190, Des Moines, IA 50314 2019-07-01
1760910723 Kelsey Taylor Social Worker 1761 Hickman Rd, Des Moines, IA 50314 2017-06-02
1184085672 Allison J Robbins Counselor 1063 14th Place, Suite A, Des Moines, IA 50314 2016-03-11
1083081715 Taylor Witzel Specialist/Technologist 450 Laurel Street, Des Moines, IA 50314 2015-08-28
1376893933 Caring Hearts LLC In Home Supportive Care 1620 Pleasant, #245, Des Moines, IA 50314 2012-09-11
1104117522 Akinbode Solomon Egbelakin Pediatrics 1111 6th Ave # Main3, Des Moines, IA 50314 2011-04-20
1447488325 Abdelaziz Elhaddad Internal Medicine 95 University Avenue, Suite 1, Des Moines, IA 50314 2009-06-30
1356584080 Tara Michelle Graff Internal Medicine 411 Laurel Street Suite A300, Des Moines, IA 50314 2009-04-10
1700068517 Planned Parenthood of The Heartland Family Medicine 123 Clark Street, Des Moines, IA 50314 2007-12-04
1790903235 Christy J. Meyer Counselor 1063 14th Place, Suite A, Des Moines, IA 50314 2007-04-22
Find all providers in zip 50314

Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972098150 Amanda Sieve Emergency Medicine 1200 Pleasant St, Des Moines, IA 50309-1406 2018-06-29
1497953350 Heather Noel Stein Poskevich Emergency Medicine 1111 6th Ave, Des Moines, IA 50314-2613 2007-07-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538140405 Thomas Joseph Kafka Emergency Medicine Regional Medical Center, 709 West Main St., Manchester, IA 52057 2005-11-08
1477543668 Michael M Rosenblatt Emergency Medicine 1605 Haskell St, Burlington, IA 52601-1406 2005-10-27
1508374927 Kari Lynn Tessum Emergency Medicine 802 Kenyon Rd, Fort Dodge, IA 50501-5740 2018-01-19
1629312723 Ottumwa Er LLC Emergency Medicine 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 2012-11-15
1902162191 Sarah Wolf Field Emergency Medicine 500 E Market St, Iowa City, IA 52245 2012-04-02
1235422056 Brian Michael Kuchay Emergency Medicine 621 S Illinois Ave, Mason City, IA 50401-5405 2011-05-26
1689705949 Jackson County Public Hospital Emergency Medicine 700 W Grove St, Maquoketa, IA 52060-2163 2007-03-08
1164593109 Buena Vista Regional Medical Center Emergency Medicine 1525 W 5th St, Storm Lake, IA 50588-3027 2006-11-13
1326073669 Delaware County Memorial Hospital Emergency Medicine 709 W Main St, Manchester, IA 52057-1526 2006-07-12
1811957590 Michael Ambrose Cronkleton Emergency Medicine 1227 E Rusholme St, Davenport, IA 52803-2459 2006-03-25
Find all providers with the same taxonomy

Competitor

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City DES MOINES
Zip Code 50314

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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