AI HUONG PHU (NPI# 1881892214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881892214 |
| Entity Type | Individual |
| Full Name | AI HUONG PHU |
| Other Name | AY HIENG PHU |
| Credential | D.O. |
| Practice Address |
12493 University Ave Ste 100 Clive IA 50325-8286 |
| Mailing Address |
Po Box 1475 Des Moines IA 50305-1475 |
| Practice Telephone | 5153589461 |
| Practice Fax Number | 5153589489 |
| Mailing Telephone | 5153589461 |
| Mailing Fax Number | 5153589489 |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2018-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | DO-04505 | IA | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 208100000X | MD | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1111 6th Ave, Suite B3, Des Moines, IA 503142613 | 5153580150 | 5153580149 |
| 12493 University Ave Ste 100, Clive, IA 503258286 | 5153580150 | 5153580149 |
| Street Address |
12493 UNIVERSITY AVE STE 100 |
| City | CLIVE |
| State | IA |
| Zip Code | 50325-8286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285756486 | Jeffrey Allen Pederson | Physical Medicine & Rehabilitation | 12493 University Ave Ste 100, Clive, IA 50325-8286 | 2007-04-06 |
| 1306324553 | Kevin Patrick Mcvey | Pharmacist | 12493 University Ave Ste 100, Clive, IA 50325-8286 | 2018-07-31 |
| 1376067892 | Cassie Ann Esdohr | Physician Assistant | 12493 University Ave Ste 100, Clive, IA 50325 | 2017-07-26 |
| 1861854374 | Matthew Robert Golish | Physical Medicine & Rehabilitation | 12493 University Ave Ste 100, Clive, IA 50325-8286 | 2016-03-23 |
| 1790140507 | Kevin Smith | Physical Therapist | 12493 University Ave Ste 100, Clive, IA 50325-8286 | 2015-12-21 |
| 1144685025 | Nicole Kuhl | Occupational Therapist | 12493 University Ave Ste 100, Clive, IA 50325-8286 | 2015-12-21 |
| 1124483110 | Karla Richards | Occupational Therapist | 12493 University Ave Ste 100, Clive, IA 50325-8286 | 2015-12-18 |
| 1558726463 | Andrea Nelson | Occupational Therapist | 12493 University Ave Ste 100, Clive, IA 50325-8286 | 2015-12-18 |
| 1073853461 | Mercy Clinics, Inc | Physical Medicine & Rehabilitation | 12493 University Ave Ste 100, Clive, IA 50325 | 2013-02-21 |
| 1013273143 | Blair Camille Runde | Chiropractor | 12493 University Ave Ste 100, Clive, IA 50325-8286 | 2012-04-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449446 | Clive Behavioral Health LLC | Psychiatric Hospital | 1500 Nw 114th St, Clive, IA 50325 | 2020-05-21 |
| 1609426519 | Caroline Silva Pereira Lara Ribeiro | Occupational Therapist | 15500 Boston Parkway, Appt 110, Clive, IA 50325 | 2019-09-13 |
| 1487203873 | Karen Turnure | Technician | 4524 Nw 16th St, Clive, IA 50325 | 2019-09-09 |
| 1659920320 | Phs Walnut Ridge LLC | Skilled Nursing Facility | 1703 Campus Drive, Clive, IA 50325 | 2019-09-05 |
| 1700288834 | Lindsey White | Chiropractor | 12931 University Ave, Suite 103, Clive, IA 50325 | 2014-09-19 |
| 1811337389 | Metro West Learning Center, LLC | Counselor | 13300 Hickman Rd Ste 110, Clive, IA 50325 | 2013-06-28 |
| 1700110343 | Rodolfo Mallorca Legislador Sr. | Family Medicine | 1665 Nw 97th St., Clive, IA 50325 | 2009-09-30 |
| 1891961900 | Erin Ducharme | Dermatology | 16349 Sheridan Drive, Suite 101, Clive, IA 50325 | 2008-05-08 |
| 1174792873 | The Iowa Clinic PC | Prosthetic/Orthotic Supplier | 12655 University Ave, Ste 160, Clive, IA 50325 | 2008-02-27 |
| 1164623393 | Melisa Coaker | Internal Medicine | 1275 Nw 128th St, Ste 200, Clive, IA 50325 | 2007-05-28 |
| Find all providers in zip 50325 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285756486 | Jeffrey Allen Pederson | Physical Medicine & Rehabilitation | 12493 University Ave Ste 100, Clive, IA 50325-8286 | 2007-04-06 |
| 1023000494 | Joseph J Chen | Physical Medicine & Rehabilitation | 1401 Campus Dr, Clive, IA 50325-6500 | 2005-08-22 |
| 1861854374 | Matthew Robert Golish | Physical Medicine & Rehabilitation | 12493 University Ave Ste 100, Clive, IA 50325-8286 | 2016-03-23 |
| 1174563118 | Donna J Bahls | Physical Medicine & Rehabilitation | 12499 University Ave, Suite 210, Clive, IA 50325-8281 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649813726 | Tarah Kooima | Physical Medicine & Rehabilitation | 807 Main St Ste C, Hull, IA 51239-7204 | 2019-10-22 |
| 1619522588 | Megan Ryan Edens | Physical Medicine & Rehabilitation | 702 30th St, Bettendorf, IA 52722-5120 | 2019-08-07 |
| 1467017244 | Aaron Sloterdyk | Physical Medicine & Rehabilitation | 645 32nd Ave Sw Ste A, Cedar Rapids, IA 52404-3907 | 2019-05-07 |
| 1982184289 | Christine Roberts | Physical Medicine & Rehabilitation | 306 E Scenic Valley Ave, Indianola, IA 50125-4865 | 2018-08-16 |
| 1417295577 | Amanda Paige Edwards | Physical Medicine & Rehabilitation | 234 West Street South, Southview Plaza Suite #4, Grinnell, IA 50112-9998 | 2013-01-24 |
| 1114290129 | Caitlin Larsen | Physical Medicine & Rehabilitation | 3290 Ridgeway Dr Ste 3, Coralville, IA 52241-2023 | 2012-02-22 |
| 1780965012 | Ntc LLC | Physical Medicine & Rehabilitation | 5550 Wild Rose Ln, Suite 400, West Des Moines, IA 50266-5304 | 2011-08-31 |
| 1417269655 | Mahesh Mohan | Physical Medicine & Rehabilitation | 2710 Saint Francis Dr Ste 419, Waterloo, IA 50702-5634 | 2010-07-03 |
| 1043459175 | Jacob B Moore | Physical Medicine & Rehabilitation | 2707 Stange Road Suite 102, Mcfarland Clinic PC, Ames, IA 50010-3014 | 2009-02-12 |
| 1497939540 | John Richard Milner-brage | Physical Medicine & Rehabilitation | 1103 Clay St, Cedar Falls, IA 50613-3044 | 2007-12-26 |
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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.