DR. SHAWN SPOONER (NPI# 1134285836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134285836 |
| Entity Type | Individual |
| Full Name | DR. SHAWN SPOONER |
| Credential | MD |
| Practice Address |
2901 86th St Urbandale IA 50322-4201 |
| Practice Telephone | 5152763406 |
| Mailing Telephone | 5152763406 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2013-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
37237 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1134285836 | 05 |
| Street Address |
2901 86TH ST |
| City | URBANDALE |
| State | IA |
| Zip Code | 50322-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982690160 | Craig D. Logemann | Pharmacist | 2901 86th St, Urbandale, IA 50322-4201 | 2005-09-23 |
| 1144743360 | Anastasia Leigh Skrobish | Emergency Medicine | 2901 86th St, Urbandale, IA 50322 | 2017-07-19 |
| 1518337393 | Michelle Kubik | Physician Assistant | 2901 86th St, Urbandale, IA 50322-4201 | 2015-10-06 |
| 1841674769 | Jennifer Ann Daza | Physician Assistant | 2901 86th St, Urbandale, IA 50322-4204 | 2015-07-10 |
| 1407248370 | Patrick J Kasper | Physician Assistant | 2901 86th St, Urbandale, IA 50322-4201 | 2015-03-02 |
| 1093139727 | Jennifer Penisten | Nurse Practitioner | 2901 86th St, Urbandale, IA 50322-4201 | 2014-02-17 |
| 1942641022 | Kelan Douglas Krohe | Physical Therapist | 2901 86th St, Urbandale, IA 50322-4201 | 2013-07-17 |
| 1134567654 | Adam Thomas Vandermolen | Physical Therapist | 2901 86th St, Urbandale, IA 50322-4201 | 2013-06-06 |
| 1659618130 | Wendy Suzanne Street | Nurse Practitioner | 2901 86th St, Urbandale, IA 50322-4201 | 2013-01-03 |
| 1497050611 | Halie Ann Anderson | Physical Therapist | 2901 86th St, Urbandale, IA 50322-4201 | 2011-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598278434 | Mary Melissa Buchanan | Hospice Care, Community Based | 6101 Goodman Dr, Urbandale, IA 50322 | 2017-11-14 |
| 1932629110 | Kelsey Coaldrake | Speech-Language Pathologist | 2570 106th St Ste E, Urbandale, IA 50322 | 2017-06-20 |
| 1861940207 | Jessalynn Bradley | Home Health Aide | 8704 Meredith Dr., Apt. 208, Urbandale, IA 50322 | 2016-09-14 |
| 1083086862 | Iowa Dermatology Clinic, Plc | Dermatology | 3729 86th St, Urbandale, IA 50322 | 2015-10-20 |
| 1598134686 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 14201 Hickman Rd., Urbandale, IA 50322 | 2015-09-18 |
| 1114303484 | Monique I Elgersma | Marriage & Family Therapist | 3829 71st St Ste A, Urbandale, IA 50322 | 2015-08-10 |
| 1821437922 | Maggie Lynn Leavens | Physical Therapy Assistant | 4614 84th Street, Urbandale, IA 50322 | 2013-06-21 |
| 1225378581 | Nicholas David Burton Lantz | Physical Therapy Assistant | 4614 Nw 84th Street, Urbandale, IA 50322 | 2013-02-25 |
| 1750645826 | Joseph Horn Thompson | Pharmacist | 9616 Quail Ridge, Urbandale, IA 50322 | 2012-07-03 |
| 1437481827 | Community Support Advocates, LLC | Social Worker | 6000 Aurora Avenue, Suite B, Des Moines, IA 50322 | 2010-02-10 |
| Find all providers in zip 50322 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578514162 | Central Iowa Hospital Corporation | Family Medicine | 2901 86th St, Urbandale, IA 50322-4201 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992124341 | Eric Reynolds | Family Medicine | 330 Laurel St Ste 2100, Des Moines, IA 50314-3068 | 2014-04-14 |
| 1053652883 | Jason Thomas Losee | Family Medicine | 319 Sergeant Square Dr, Sergeant Bluff, IA 51054-7729 | 2013-03-04 |
| 1881952182 | Daniel L Jones | Family Medicine | 2751 Northgate Dr, Ste 1, Iowa City, IA 52245-9509 | 2012-04-25 |
| 1942311584 | John T Swisher Iv | Family Medicine | 1010 4th St Sw Ste 120, Mason City, IA 50401-2856 | 2006-08-31 |
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| 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.