MED MANAGEMENT ASSOCIATES OF IOWA PC (NPI# 1871084384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871084384 |
| Entity Type | Organization |
| Organization Name | MED MANAGEMENT ASSOCIATES OF IOWA PC |
| Practice Address |
2571 Guthrie Ave Des Moines IA 50317 |
| Mailing Address |
7272 Wurzbach Rd Ste 601 San Antonio TX 78240-4803 |
| Practice Telephone | 5152657219 |
| Mailing Telephone | 2106153483 |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-09-06 |
| Authorized Official Name | DR. NEVILLE HOMI KOTWAL (DIRECTOR) |
| Authorized Official Telephone | 2106153483 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
35543 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | LICENSE - MD | 35443 | 01 |
| Street Address |
2571 GUTHRIE AVE |
| City | DES MOINES |
| State | IA |
| Zip Code | 50317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831209279 | Evangelical Retirement Homes, Inc. | Skilled Nursing Facility | 2571 Guthrie Ave, Des Moines, IA 50317-3019 | 2006-08-30 |
| 1134523582 | Sue Pittman | Occupational Therapist | 2571 Guthrie Ave, Des Moines, IA 50317-3019 | 2014-10-14 |
| 1447482989 | Village Assisted Living, Inc. | Assisted Living Facility | 2571 Guthrie Ave, Des Moines, IA 50317-3019 | 2009-08-18 |
| 1750552741 | Erin M Toot | Physical Therapy Assistant | 2571 Guthrie Ave, Des Moines, IA 50317-3019 | 2008-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518239128 | William Shane Lounsbery | Counselor | 2824 E 38th Street, Des Moines, IA 50317 | 2012-01-30 |
| 1710275904 | Jessica Lyn Deboom | Counselor | C/o Prairie Wellness, 3209 Ingersoll Ave Ste 100, Des Moines, IA 50317 | 2011-07-21 |
| 1871724161 | Tonya Norvell Diehn | Physician Assistant | 3509 E 29th Street, Des Moines, IA 50317 | 2009-08-04 |
| 1578688545 | Adam Fredrick Fuller | Dentist | 3223 E 29th Street, Des Moines, IA 50317 | 2007-03-20 |
| 1902938699 | C Fredrick Fuller | Dentist | 3223 E 29th St, Des Moines, IA 50317 | 2007-03-09 |
| 1164593596 | Darrin E Ausman | Occupational Therapist | 2918 East University Avenue, Des Moines, IA 50317 | 2006-11-09 |
| 1386715720 | Laura Anne Henry | Physical Therapist | 2918 East University Aveneue, Des Moines, IA 50317 | 2006-11-09 |
| 1295784494 | James A Blasco | Optometrist | 2566 Hubbell Ave, Des Moines, IA 50317 | 2006-05-08 |
| 1457327116 | Danice Franchelle Klimek | Internal Medicine | 2524 E 42nd St, Des Moines, IA 50317 | 2006-02-23 |
| 1881699486 | Hospice of Central Iowa | Hospice Care, Community Based | 3000 Easton Blvd, Des Moines, IA 50317 | 2005-06-20 |
| Find all providers in zip 50317 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376961409 | Karen Powell | Psychiatry & Neurology | 1111 6th Ave # W3, Des Moines, IA 50314-2610 | 2014-04-05 |
| 1659420099 | Stephen R Mandler | Psychiatry & Neurology | 2116 Grand Ave, Des Moines, IA 50312 | 2007-01-08 |
| 1154481273 | David E Drake Do PC | Psychiatry & Neurology | 1221 Center, #3, Des Moines, IA 50309-1014 | 2006-12-11 |
| 1235194143 | Thomas Kirby Koithan | Psychiatry & Neurology | 2500 82 Pl, Wadle and Associates PC, Des Moines, IA 50322-4329 | 2006-04-20 |
| 1629042288 | Martin Jerome Fialkov | Psychiatry & Neurology | 1201 63rd St, Des Moines, IA 50311-1943 | 2006-02-13 |
| 1184613101 | Loren A Olson | Psychiatry & Neurology | 4908 Franklin Ave, Des Moines, IA 50310-1901 | 2005-10-21 |
| 1306461496 | Paul Schroeder | Psychiatry & Neurology | 1801 Hickman Rd, Des Moines, IA 50314-1597 | 2020-06-15 |
| 1548885791 | Walter Mogeni | Psychiatry & Neurology | 1801 Hickman Rd, Des Moines, IA 50314-1597 | 2020-06-13 |
| 1811512064 | Adrianna Denise Mitchell | Psychiatry & Neurology | 1801 Hickman Rd, Des Moines, IA 50314-1597 | 2020-06-13 |
| 1821612813 | Jennifer L Johnson | Psychiatry & Neurology | 1111 6th Ave, Des Moines, IA 50314-2613 | 2020-06-04 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50317 |
Please comment or provide details below to improve the information on MED MANAGEMENT ASSOCIATES OF IOWA PC.
| 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.