DES MOINES RIVER PHYSICIANS, LLC (NPI# 1720472442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720472442 |
| Entity Type | Organization |
| Organization Name | DES MOINES RIVER PHYSICIANS, LLC |
| Practice Address |
1111 6th Ave Des Moines IA 50314-2613 |
| Mailing Address |
Po Box 21197 Belfast ME 04915-4108 |
| Practice Telephone | 5153588000 |
| Mailing Telephone | 7708745400 |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | KIM H LARSEN (DIRECTOR OF CREDENTIALING) |
| Authorized Official Telephone | 7708745400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174907703 | Des Moines River Physicians, LLC | Emergency Medicine | 204 N 4th Ave E, Newton, IA 50208-3135 | 2015-07-14 |
| 1538553250 | Des Moines River Physicians, LLC | Emergency Medicine | 1755 59th Pl, West Des Moines, IA 50266-7737 | 2015-03-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | DES MOINES RIVER PHYSICIANS, LLC | 5665 New Northside Drive, Suite 320, Atlanta, GA 30328 |
| Street Address |
1111 6TH AVE |
| City | DES MOINES |
| State | IA |
| Zip Code | 50314-2613 |
| 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 | ||||
| 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 Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992795496 | Paul Henry Novak | Emergency Medicine | 6079 Ne 9th St, Des Moines, IA 50313-1531 | 2005-10-26 |
| 1407203037 | Todd Sexton | Emergency Medicine | 700 E University Ave, Des Moines, IA 50316-2302 | 2016-05-24 |
| 1043679699 | Chad William Becker | Emergency Medicine | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2016-02-10 |
| 1093114472 | Alyssa Drezdon | Emergency Medicine | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2014-08-21 |
| 1356756175 | Erik Adair | Emergency Medicine | 1200 Pleasant St, Des Moines, IA 50309-1453 | 2014-07-01 |
| 1962841338 | Karin Howe | Emergency Medicine | 1111 6th Ave, Des Moines, IA 50314-2613 | 2013-06-19 |
| 1750728309 | Luke Lowry | Emergency Medicine | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2013-05-22 |
| 1912340076 | Brittany D Jensen | Emergency Medicine | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2013-04-09 |
| 1346683539 | Chase Nicholas Deobald | Emergency Medicine | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2013-04-08 |
| 1073956215 | Benjamin R Sweet | Emergency Medicine | 1111 6th Ave, Des Moines, IA 50314-2613 | 2013-04-08 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50314 |
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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.