DES MOINES UNIVERSITY OSTEOPATHIC MEDICAL CENTER (NPI# 1164475760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164475760 |
| Entity Type | Organization |
| Organization Name | DES MOINES UNIVERSITY OSTEOPATHIC MEDICAL CENTER |
| Other Organization Name | DES MOINES UNIVERSITY CLINIC |
| Practice Address |
3200 Grand Ave Des Moines IA 50312-4104 |
| Practice Telephone | 5154719243 |
| Practice Fax Number | 5154719319 |
| Mailing Telephone | 5154719243 |
| Mailing Fax Number | 5154719319 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2013-08-27 |
| Authorized Official Name | MARK J PEIFFER (CFO) |
| Authorized Official Telephone | 5152711475 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | IA | Allopathic & Osteopathic Physicians | |
| N | 207R00000X | Internal Medicine | IA | Allopathic & Osteopathic Physicians | |
| N | 363A00000X | Physician Assistant | IA | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
IA | Podiatric Medicine & Surgery Service Providers | |
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
IA | Podiatric Medicine & Surgery Service Providers | |
| N | 225100000X | Physical Therapist | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 225X00000X | Occupational Therapist | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 207W00000X | Ophthalmology | IA | Allopathic & Osteopathic Physicians | |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
IA | Allopathic & Osteopathic Physicians | |
| N | 208100000X | Physical Medicine & Rehabilitation | IA | Allopathic & Osteopathic Physicians | |
| N | 208D00000X | General Practice | IA | Allopathic & Osteopathic Physicians | |
| Y | 207Q00000X | Family Medicine | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0255182 | 05 | |
| IA | RR MEDICARE | CQ2071 | 01 |
| IA | 0255166 | 05 |
| Other Name | Type Code |
|---|---|
| Des Moines University Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043380801 | Des Moines University Osteopathic Medical Center | Durable Medical Equipment & Medical Supplies | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2006-11-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Des Moines University Osteopathic Medical Center | 3200 Grand Avenue, West Des Moines, IA 50312-4198 |
| System for Award Management (SAM) Entities | DES MOINES UNIVERSITY OSTEOPATHIC MEDICAL CENTER | 3200 Grand Ave, Des Moines, IA 50312-4104 |
| Oklahoma Business Registrations | DES MOINES UNIVERSITY OSTEOPATHIC MEDICAL CENTER | 3200 Grand Ave, Des Moines, IA 50312 |
| Street Address |
3200 GRAND AVE |
| City | DES MOINES |
| State | IA |
| Zip Code | 50312-4104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306838297 | Traci Ann Bush | Physical Therapist | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2005-08-17 |
| 1649889155 | Margaret Grace Meyer | Student in an Organized Health Care Education/Training Program | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2020-07-30 |
| 1811514128 | Alexis Hanson | Student in an Organized Health Care Education/Training Program | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2020-07-02 |
| 1154945038 | Benjamin Bogert | Student in an Organized Health Care Education/Training Program | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2020-06-05 |
| 1568086205 | Bergen Schattschneider | Student in an Organized Health Care Education/Training Program | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2020-05-28 |
| 1295354991 | Haley Hicks | Student in an Organized Health Care Education/Training Program | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2020-04-13 |
| 1306465547 | Nelson Sham | Student in an Organized Health Care Education/Training Program | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2020-04-08 |
| 1982232310 | Lauren Rank | Student in an Organized Health Care Education/Training Program | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2020-03-31 |
| 1831727486 | Autumn Luger | Student in an Organized Health Care Education/Training Program | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2020-03-30 |
| 1073141875 | Allysa Moran | Student in an Organized Health Care Education/Training Program | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2020-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837976 | Devon Anderson | Student in an Organized Health Care Education/Training Program | Des Moines University Pa Program, 3200 Grand, Des Moines, IA 50312 | 2020-03-27 |
| 1578190583 | Christian Ostrander | Student in an Organized Health Care Education/Training Program | Des Moines University-pa Program 3200 Grand Avenue, Des Moines, IA 50312 | 2020-03-27 |
| 1194209312 | Margaret Dedecker | Speech-Language Pathologist | 644 24th St., Des Moines, IA 50312 | 2018-09-24 |
| 1942702410 | Nelson-kirby Therapy & Consulting Services, LLC | Marriage & Family Therapist | 3900 Ingersoll Avenue Suite 108, Des Moines, IA 50312 | 2018-03-01 |
| 1851839864 | Lawrence Scanlon | Counselor | 412 42nd St, Des Moines, IA 50312 | 2017-02-09 |
| 1104275122 | Melissa Joshel | Social Worker | 2116 Grand Ave Ste 2, Des Moines, IA 50312 | 2016-06-09 |
| 1629435813 | Abby Michele Miller | Acupuncturist | 531 40th Street, Des Moines, IA 50312 | 2016-01-20 |
| 1326410689 | Dawn Theresa Corriere | Advanced Practice Midwife | 3714 Ingersoll Ave, Des Moines, IA 50312 | 2015-10-27 |
| 1336558154 | Paul Johnston | Counselor | 600 42nd Street, Des Moines, IA 50312 | 2014-08-06 |
| 1083847214 | Mark David Ravreby | Internal Medicine | 3663 Grand Ave, #204, Des Moines, IA 50312 | 2009-09-04 |
| Find all providers in zip 50312 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851861587 | Clayton Health Systems, Inc | Family Medicine | 351 Francis Avenue, Des Moines, NM 88418 | 2018-11-26 |
| 1982043014 | Angela De Hamer | Family Medicine | 1111 6th Ave Fl 4, Des Moines, IA 50314-2610 | 2013-06-21 |
| 1174962500 | Paul Lyndon Nurmi | Family Medicine | 6601 Sw Ninth Street, Des Moines, IA 50315-6138 | 2013-06-19 |
| 1356780647 | Jenna L W Ridlen | Family Medicine | 1350 Des Moines Street, Suite 110, Des Moines, IA 50309-5507 | 2013-06-19 |
| 1639461007 | Gwen George Luepke | Family Medicine | 2725 Merle Hay Rd, Des Moines, IA 50310-1134 | 2011-05-04 |
| 1083926414 | Steven R Morris | Family Medicine | 840 E University Avenue, Des Moines, IA 50316-2304 | 2010-07-14 |
| 1922258474 | Dennis Lee Anderson | Family Medicine | 5221 Village Run Ave, Unit 1602, Des Moines, IA 50317-4979 | 2008-09-21 |
| 1700068517 | Planned Parenthood of The Heartland | Family Medicine | 123 Clark Street, Des Moines, IA 50314 | 2007-12-04 |
| 1760681597 | Jose G Aguilar | Family Medicine | 1350 Des Moines St., Ste 110, Des Moines, IA 50309-5526 | 2007-07-12 |
| 1164646691 | Sara Esther Sutton | Family Medicine | 3219 Sw 39th St, Des Moines, IA 50321-1304 | 2007-04-13 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50312 |
Please comment or provide details below to improve the information on DES MOINES UNIVERSITY OSTEOPATHIC MEDICAL CENTER.
| 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.