DR. CONNIE SUE ERTL (NPI# 1912007550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912007550 |
| Entity Type | Individual |
| Full Name | DR. CONNIE SUE ERTL |
| Credential | D.C. |
| Practice Address |
1701 22nd St Suite 105 West Des Moines IA 50266-1443 |
| Practice Telephone | 5152241001 |
| Practice Fax Number | 5152241004 |
| Mailing Telephone | 5152241001 |
| Mailing Fax Number | 5152241004 |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2008-06-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 7637 | AZ | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 06704 | IA | Chiropractic Providers |
| N | 163W00000X | Registered Nurse | 041-274183 | IL | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 109917 | IA | Nursing Service Providers |
| Street Address |
1701 22ND ST SUITE 105 |
| City | WEST DES MOINES |
| State | IA |
| Zip Code | 50266-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447255245 | Gregory E Peterson | Internal Medicine | 1701 22nd St, Ste 207, West Des Moines, IA 50266-1443 | 2005-06-17 |
| 1134579253 | Alison Katherine Meyer | Dentist | 1701 22nd St, Suite 101, West Des Moines, IA 50266-1443 | 2016-06-20 |
| 1699053751 | Gaylord Carl Nordine | Psychiatry & Neurology | 1701 22nd St, # 207, West Des Moines, IA 50266-1443 | 2011-07-22 |
| 1891923421 | Judith L. Nayeri, D.o., P.C. | Family Medicine | 1701 22nd St, Suite 201, West Des Moines, IA 50266-1443 | 2009-06-22 |
| 1891897237 | Donnis F Crank | Podiatrist | 1701 22nd St, Ste 105, West Des Moines, IA 50266 | 2006-09-05 |
| 1881607786 | Ahmad Yasser Al-shash | Allergy & Immunology | 1701 22nd St, Suite 207, West Des Moines, IA 50266-1443 | 2006-08-14 |
| 1285687202 | Majed Waleed Barazanji | Family Medicine | 1701 22nd St, West Des Moines, IA 50266-1443 | 2006-05-19 |
| 1942253836 | Barazanji Family Medical Clinic, P.C. | Family Medicine | 1701 22nd St, Suite 201, West Des Moines, IA 50266-1443 | 2006-05-19 |
| 1629021118 | Ronnie Hawkins Family Practice Medical Clinic Plc | Family Medicine | 1701 22nd St, Suite 107, West Des Moines, IA 50266-1443 | 2006-05-18 |
| 1275502007 | Judith Lynne Nayeri | Family Medicine | 1701 22nd St, Suite 201, West Des Moines, IA 50266-1443 | 2006-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013544667 | Annie Penquite | Physician Assistant | 6001 Westown Pwky, West Des Moines, IA 50266 | 2020-03-24 |
| 1730733205 | Erin Allyn Fiala | Counselor | 1200 Valley West Dr Suite 508, West Des Moines, IA 50266 | 2019-08-01 |
| 1598325151 | Cornerstone Pediatrics and Family Allergy, Plc | Pediatrics | 6800 Lake Drive, #260, West Des Monies, IA 50266 | 2019-06-17 |
| 1093286395 | Ccrc of West Des Moines, LLC | Skilled Nursing Facility | 8950 Coachlight Drive, West Des Moines, IA 50266 | 2018-12-12 |
| 1326517400 | Merit Hearing LLC | Audiologist-Hearing Aid Fitter | 2910 Westown Pkwy Ste 110, West Des Moines, IA 50266 | 2018-11-18 |
| 1699253807 | Diamond Home Health Care Services | Home Health | 4949 Weston Pkwy Ste 165 #836, West Des Moines, IA 50266 | 2018-07-31 |
| 1285129932 | Hy Vee Inc | Pharmacy | 375 South Jordan Creek Parkway, West Des Moines, IA 50266 | 2018-06-26 |
| 1669965208 | Rx Precision, Inc. | Case Management | 6205 Mills Civic Pkwy Ste 201, West Des Moines, IA 50266 | 2018-06-08 |
| 1912406588 | Cora Schuhmacher, Psy.d., Pllc | Psychologist | 1045 76th St Unit 3030, West Des Moines, IA 50266 | 2018-02-08 |
| 1508374778 | Brian L Bentley | Counselor | 5500 Wild Rose Lane, Suite 400, West Des Moines, IA 50266 | 2018-01-22 |
| Find all providers in zip 50266 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609411032 | Logan Dabney | Chiropractor | 5525 Mills Civic Pkwy Ste 120a, West Des Moines, IA 50266-5311 | 2019-11-08 |
| 1336707058 | Nicholas Jepsen | Chiropractor | 2600 University Ave Ste 212, West Des Moines, IA 50266-1462 | 2019-05-29 |
| 1659840007 | Ruth Mcdanel | Chiropractor | 219 5th St, West Des Moines, IA 50265-4859 | 2018-11-15 |
| 1013407303 | Mds Health,pc | Chiropractor | 3737 Woodland Ave Ste 601, West Des Moines, IA 50266-1937 | 2018-05-14 |
| 1841731171 | Vero Chiropractic Pllc | Chiropractor | 5525 Mills Civic Pkwy, Suite 120a, West Des Moines, IA 50266-5311 | 2017-03-20 |
| 1548618143 | Derek Reicks | Chiropractor | 7205 Vista Dr Ste 104, West Des Moines, IA 50266-9360 | 2016-05-25 |
| 1982027330 | Ervin Chiropractic, P.C. | Chiropractor | 1821 22nd St., Suite 113, West Des Moines, IA 50266-1446 | 2014-01-21 |
| 1356776827 | John Joseph Crouse | Chiropractor | 8601 Westown Pkwy Unit 3106, West Des Moines, IA 50266-1657 | 2013-09-03 |
| 1730450594 | Valley Chiropractic Center, Pllc | Chiropractor | 1200 Valley West Dr Ste 110, West Des Moines, IA 50266-1902 | 2012-01-25 |
| 1841569498 | Jonathan M Roed | Chiropractor | 1770 92nd St, Unit 10301, West Des Moines, IA 50266-1596 | 2011-12-27 |
| Find all providers in WEST DES MOINES | ||||
| City | WEST DES MOINES |
| Zip Code | 50266 |
Please comment or provide details below to improve the information on DR. CONNIE SUE ERTL.
| 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.