GRAND VIEW UNIVERSITY (NPI# 1245745074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245745074 |
| Entity Type | Organization |
| Organization Name | GRAND VIEW UNIVERSITY |
| Other Organization Name | GRAND VIEW SPORTS MEDICINE |
| Practice Address |
1200 Grandview Ave Des Moines IA 50316-1529 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 9723674845 |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |
| Authorized Official Name | MOUZON BASS III (AGENT) |
| Authorized Official Telephone | 9723674845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
MD-37318 | IA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Grand View Sports Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861908089 | Grand View University | Pediatrics | 1200 Grandview Ave, Johnson Wellness Center, Des Moine, IA 50316-1529 | 2017-12-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GRAND VIEW UNIVERSITY | 1200 Grandview Ave, Des Moines, IA 50316-1529 |
| Iowa Business Entities | GRAND VIEW UNIVERSITY | 1200 Grandview Avenue., Des Moines, IA 50316 |
| Street Address |
1200 GRANDVIEW AVE |
| City | DES MOINES |
| State | IA |
| Zip Code | 50316-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700920865 | Christopher Paul Viesselman | Specialist/Technologist | 1200 Grandview Ave, Des Moines, IA 50316-1529 | 2007-02-20 |
| 1730694100 | Travis Dibbet | Specialist/Technologist | 1200 Grandview Ave, Des Moines, IA 50316-1529 | 2017-12-07 |
| 1790299154 | Leah Grace Gerber | Specialist/Technologist | 1200 Grandview Ave, Des Moines, IA 50316-1529 | 2017-11-21 |
| 1407256621 | Allison Smith | Specialist/Technologist | 1200 Grandview Ave, Des Moines, IA 50316-1529 | 2014-08-25 |
| 1427465020 | Jessica Edler | Specialist/Technologist | 1200 Grandview Ave, Des Moines, IA 50316 | 2014-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626320 | Restoration Behavioral Health Center, Inc. | Clinic/Center | 1235 Sampson Street, Des Moines, IA 50316 | 2020-10-12 |
| 1154928497 | Yeshua Reentry and Recovery Center Inc | Community Health Worker | 1235 Sampson St, Des Moines, IA 50316 | 2020-10-08 |
| 1639594484 | Tripti Kaul | Dentist | 1345 E. University Avenue, #302, Des Moines, IA 50316 | 2014-03-03 |
| 1184979023 | Ashley Marie Mundt | Physical Therapist | 710 Riverview Street, Des Moines, IA 50316 | 2012-07-17 |
| 1942562020 | Angela Maria Runkel | Nurse Practitioner | 1201 Penn Avenue, Penn Avenue Internal Medicine, Des Moines, IA 50316 | 2012-06-13 |
| 1821390121 | Recovercare LLC | Durable Medical Equipment & Medical Supplies | 2117 Dixon St, Des Moines, IA 50316 | 2010-11-19 |
| 1588838841 | Leenu Mishra | Psychiatry & Neurology | 700 East University Ave 3 West, Blank Childrens Psychiatry, Des Moines, IA 50316 | 2008-04-17 |
| 1477721686 | Kristin K Horning | Pharmacist | 840 East University Avenue, Des Moines, IA 50316 | 2008-02-11 |
| 1770695488 | Terrance O Kurtz | Internal Medicine | 2100 Dixon, Suite E Concentra Clinic, Des Moines, IA 50316 | 2006-08-31 |
| 1487281085 | Timothy Andrew Flynn | Behavioral Analyst | 1301 Pennsylvania Ave, Suite #305, Des Moines, IA 50316 | 2020-03-24 |
| Find all providers in zip 50316 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790749448 | William C Jacobson | Orthopaedic Surgery | 12499 University Ave, Suite 210, Des Moines, IA 50325-8281 | 2006-04-12 |
| 1326378720 | Iowa Orthopaedic Center, P.C. | Orthopaedic Surgery | 450 Laurel St, Ste A, Des Moines, IA 50314-3045 | 2010-01-06 |
| 1922219047 | William C. Jacobson Md PC | Orthopaedic Surgery | 1601 Nw 114th St, Suite 142, Des Moines, IA 50325-7007 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356392062 | James D Wolff Md PC | Orthopaedic Surgery | 2700 1st Ave S, Suite 100, Fort Dodge, IA 50501-4306 | 2006-05-15 |
| 1376908897 | The Finley Hospital | Orthopaedic Surgery | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2015-12-29 |
| 1386048650 | Bastian Uribe-echevarria Marbach | Orthopaedic Surgery | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2014-10-15 |
| 1033485404 | Ruslan Safarov | Orthopaedic Surgery | 2730 Pierce St Ste 300, Sioux City, IA 51104 | 2012-03-29 |
| 1902190879 | Kristyn Marie Darmafall | Orthopaedic Surgery | 3385 Dexter Ct Ste 300, Davenport, IA 52807-3471 | 2011-06-08 |
| 1902134406 | Tri-state Specialists, LLP | Orthopaedic Surgery | 2730 Pierce St Ste 300, Sioux City, IA 51104-3765 | 2009-11-23 |
| 1104058502 | Keith Robert Wolstenholme | Orthopaedic Surgery | 200 Hawkins Dr, Orthopaedic Surgery Department, Iowa City, IA 52242-1009 | 2009-08-18 |
| 1134358500 | Kellen L Huston | Orthopaedic Surgery | 1 Edmundson Pl, Suite 500, Council Bluffs, IA 51503-4658 | 2009-07-07 |
| 1881714079 | Mark Baird Kirkland | Orthopaedic Surgery | 3408 Woodland Ave, Ste 205, West Des Moines, IA 50266-6506 | 2007-03-30 |
| 1740329580 | Iowa Specialty Hospital- Clarion | Orthopaedic Surgery | 1316 S Main St, Clarion, IA 50525-2019 | 2007-02-06 |
| Find all providers with the same taxonomy | ||||
| City | DES MOINES |
| Zip Code | 50316 |
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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.