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NPI 1932432457 · live from the CMS NPI Registry

Capital Orthopaedics And Sports Medicine PC

Orthopaedic Surgery in Clive, IA. National Provider Identifier 1932432457, active.

NPI record

NPI1932432457 Type 2 · organization
StatusActive
Primary specialtyOrthopaedic Surgery 207X00000X
Practice location12499 University Ave, Suite 210, Clive, IA 50325
Practice phone515-440-2676
EnumeratedSeptember 16, 2009
Last updatedJanuary 22, 2013
Authorized officialWilliam Jacobson, Shareholder

Taxonomies and licenses

TaxonomyCodeLicense
Orthopaedic Surgery, Hand Surgery207XS0106X26239 (IA)
Orthopaedic Surgery, Orthopaedic Surgery of the Spine207XS0117X19337 (IA)
Orthopaedic Surgery, Sports Medicine207XX0005X33389 (IA)
Physical Medicine & Rehabilitation208100000X27587 (IA)
Surgery, Surgery of the Hand2086S0105X37744 (IA)
Podiatrist, Foot & Ankle Surgery213ES0103X00693 (IA)
Orthopaedic Surgery primary207X00000X— (IA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.