TEAMMD IOWA, INC. (NPI# 1235503269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235503269 |
| Entity Type | Organization |
| Organization Name | TEAMMD IOWA, INC. |
| Practice Address |
6500 University Ave Des Moines IA 50324-1607 |
| Practice Telephone | 9529366125 |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2015-11-16 |
| Authorized Official Name | BROR O HULTGREN (CEO) |
| Authorized Official Telephone | 9529366125 |
| Is Organization Subpart | Y |
| Parent Organization Name | TEAMMD HOLDINGS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | TEAMMD IOWA, INC. | 6500 University Ave., Suite 100, Windsor Heights, IL 50324 |
| Street Address |
6500 UNIVERSITY AVE |
| City | DES MOINES |
| State | IA |
| Zip Code | 50324-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265748826 | Patricia Lynn Russell | Nurse Practitioner | 6500 University Ave, Suite 100, Des Moines, IA 50324-1607 | 2010-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396262291 | Nuspine IIi Inc. | Chiropractor | 7241 Apple Valley Drive, Windsor Heights, IA 50324 | 2017-08-23 |
| 1396921508 | Elisabeth Lee Jones | Nurse Practitioner | 7700 Hickman Road, Windsor Heights, IA 50324 | 2008-01-17 |
| 1932630167 | Brown Therapy Resources LLC | Community/Behavioral Health | 974 73rd St, Suite 24, Windsor Heights, IA 50324-1024 | 2017-03-21 |
| 1891230447 | Rebecca Lake | Chiropractor | 974 73rd St, #40, Windsor Heights, IA 50324-1024 | 2017-01-05 |
| 1851643019 | Demarco Dental Practice,p.c. | Dentist | 974 73rd St, Suite 37, Windsor Heights, IA 50324-1024 | 2012-10-11 |
| 1477709228 | Kevin Scott Brown | Counselor | 974 73rd St, Suite 24, Windsor Heights, IA 50324-1024 | 2008-08-13 |
| 1598899155 | Barry R Svec | Dentist | 974 73rd St, Suite #4, Windsor Heights, IA 50324-1024 | 2007-03-15 |
| 1184787343 | Heartland Vascular Medicine and Surgery PC | Surgery | 974 73rd St, Suite 23, Windsor Heights, IA 50324-1024 | 2006-12-19 |
| 1750474318 | Myrie & Associates | Surgery | 974 73rd St, Suite 25, Windsor Heights, IA 50324-1024 | 2006-10-02 |
| 1427004464 | Alan Russell Koslow | Surgery | 974 73rd St, Suite 23, Windsor Heights, IA 50324-1024 | 2006-05-25 |
| Find all providers in zip 50324 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588226104 | Laura Sue Kersey | Internal Medicine | 1212 Pleasant St Ste 110, Des Moines, IA 50309-1410 | 2019-07-03 |
| 1669948568 | Parabolic Health Pllc | Internal Medicine | 19809 8th Ave S, Des Moines, WA 98148-2246 | 2018-10-17 |
| 1245764752 | Joel Fuchs | Internal Medicine | 3600 30th St # 451, Des Moines, IA 50310-5753 | 2017-04-12 |
| 1780066746 | Ashley Priaulx | Internal Medicine | 1415 Woodland Ave Ste 140, Des Moines, IA 50309-3203 | 2015-06-25 |
| 1306238605 | Greggory Stan Flint | Internal Medicine | 1215 Pleasant St Ste 400, Des Moines, IA 50309-1418 | 2015-02-23 |
| 1245632298 | Progenity Whole Health Inc. | Internal Medicine | 95 University Ave Ste 1, Des Moines, IA 50314-3120 | 2014-09-22 |
| 1700147378 | Chan H Park | Internal Medicine | 22226 Cliff Ave S, #304, Des Moines, WA 98198-4619 | 2012-05-30 |
| 1417214321 | Leah Jeanine Brandon | Internal Medicine | 330 Laurel St Ste 2100, Des Moines, IA 50314-3068 | 2012-04-16 |
| 1417244542 | Rossana M Rosa Espinoza | Internal Medicine | 1221 Pleasant St Ste 300, Des Moines, IA 50309-1426 | 2011-07-10 |
| 1083847214 | Mark David Ravreby | Internal Medicine | 3663 Grand Ave, #204, Des Moines, IA 50312 | 2009-09-04 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50324 |
Please comment or provide details below to improve the information on TEAMMD IOWA, INC..
| 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.