NPI 1164475760 · live from the CMS NPI Registry
Des Moines University Osteopathic Medical Center
Family Medicine in Des Moines, IA. National Provider Identifier 1164475760, active.
NPI record
| NPI | 1164475760 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 3200 Grand Ave, Des Moines, IA 50312 |
| Practice phone | 515-471-9243 |
| Enumerated | May 18, 2006 |
| Last updated | August 12, 2022 |
| Authorized official | Philip Blumberg, Administrator |
| Other names | Des Moines University Clinic |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical | 103TC0700X | — |
| Neuromusculoskeletal Medicine & OMM | 204D00000X | — (IA) |
| Internal Medicine | 207R00000X | — (IA) |
| Physical Medicine & Rehabilitation | 208100000X | — (IA) |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — |
| Radiology, Diagnostic Radiology | 2085R0202X | — (IA) |
| General Practice | 208D00000X | — (IA) |
| Podiatrist, Primary Podiatric Medicine | 213EP1101X | — (IA) |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | — (IA) |
| Physical Therapist | 225100000X | — (IA) |
| Occupational Therapist | 225X00000X | — (IA) |
| Physician Assistant | 363A00000X | — (IA) |
| Physician Assistant | 363A00000X | — |
| Family Medicine primary | 207Q00000X | — (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.