SHANNON V CROUT (NPI# 1861705824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861705824 |
| Entity Type | Individual |
| Full Name | SHANNON V CROUT |
| Credential | DO |
| Practice Address |
3200 Grand Ave Des Moines IA 50312-4104 |
| Practice Telephone | 5152711722 |
| Practice Fax Number | 5152711697 |
| Mailing Telephone | 5152711722 |
| Mailing Fax Number | 5152711697 |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2020-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 4480 | IA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 5101019002 | MI | Student, Health Care |
| 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 | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336151505 | Duane Verne Wilkins | Neuromusculoskeletal Medicine & OMM | 2100 Dixon St, Suite E, Des Moines, IA 50316-2174 | 2006-08-13 |
| 1720320021 | Hillary C Haas | Neuromusculoskeletal Medicine & OMM | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2013-03-25 |
| 1780817809 | Katherine L Heineman | Neuromusculoskeletal Medicine & OMM | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2009-08-25 |
| 1184882102 | James Philson | Neuromusculoskeletal Medicine & OMM | 3200 Grand Ave, Des Moines, IA 50312 | 2008-05-27 |
| 1316039670 | Bern Rex Boyett | Neuromusculoskeletal Medicine & OMM | 1301 Pennsylvania Ave, Penn Center / Suite 416, Des Moines, IA 50316-2350 | 2006-09-28 |
| 1164475760 | Des Moines University Osteopathic Medical Center | Neuromusculoskeletal Medicine & OMM | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2006-05-18 |
| 1104810001 | George Bradley Klock | Neuromusculoskeletal Medicine & OMM | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2005-09-07 |
| 1083606735 | Adrian L Woolley | Neuromusculoskeletal Medicine & OMM | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770679987 | Robert J Klein | Neuromusculoskeletal Medicine & OMM | 1652 42nd St Ne, Suite A, Cedar Rapids, IA 52402-3075 | 2006-10-05 |
| 1629029822 | Sean D Brodale | Neuromusculoskeletal Medicine & OMM | 18754 Us Highway 63, Bloomfield, IA 52537-6803 | 2006-05-12 |
| 1740256593 | Ignatius J Brady | Neuromusculoskeletal Medicine & OMM | 830 1st Ave Ne, Cedar Rapids, IA 52402 | 2006-02-23 |
| 1720059686 | John R. Macatee | Neuromusculoskeletal Medicine & OMM | 1136 Foster Rd, Iowa City, IA 52245-1595 | 2006-01-30 |
| 1831426774 | Shahnawaz Karim | Neuromusculoskeletal Medicine & OMM | 800 Kenyon Rd, Fort Dodge, Fort Dodge, IA 50501-5776 | 2009-11-13 |
| 1134351760 | West Fork Family Medicine PC | Neuromusculoskeletal Medicine & OMM | 705 Elm St E, Rockwell, IA 50469-1035 | 2009-08-15 |
| 1154547073 | Joshua Paul Baker | Neuromusculoskeletal Medicine & OMM | 705 Elm St E, Rockwell, IA 50469-1035 | 2007-04-18 |
| 1922176882 | David Dewey Musgrave | Neuromusculoskeletal Medicine & OMM | 1001 Office Park Rd, Suite 328, West Des Moines, IA 50265-2587 | 2006-11-30 |
| 1477654945 | Genesis Health System | Neuromusculoskeletal Medicine & OMM | 865 Lincoln Rd, Ste L10, Bettendorf, IA 52722-4190 | 2006-09-26 |
| 1841394269 | Genesis Health System | Neuromusculoskeletal Medicine & OMM | 865 Lincoln Rd, Suite 100, Bettendorf, IA 52722-4190 | 2006-09-08 |
| Find all providers with the same taxonomy | ||||
| City | DES MOINES |
| Zip Code | 50312 |
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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.