DR. SAMUEL J. STORCH (NPI# 1003880907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003880907 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL J. STORCH |
| Credential | M.D. |
| Practice Address |
5950 University Ave Ste 341 West Des Moines IA 50266-8289 |
| Mailing Address |
5950 University Ave Ste 321 West Des Moines IA 50266-8289 |
| Practice Telephone | 5158759255 |
| Practice Fax Number | 5158759101 |
| Mailing Telephone | 5158759255 |
| Mailing Fax Number | 5158759101 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2019-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 30099 | NC | Other Service Providers |
| Y | 208800000X | Urology | MD-46783 | IA | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 30099 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE MEDICARE | 1003880907 | 01 |
| NC | 7980179 | 05 | |
| NC | RAILROAD MEDICARE | 1003880907 | 01 |
| VA | 1003880907 | 05 | |
| NC | BLUECROSS BLUESHIELD | 80179 | 01 |
| Street Address |
5950 UNIVERSITY AVE STE 341 |
| City | WEST DES MOINES |
| State | IA |
| Zip Code | 50266-8289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427021617 | Jennifer E Kintzle | Nurse Practitioner | 5950 University Ave Ste 341, West Des Moines, IA 50266 | 2006-02-09 |
| 1871154138 | Kelly Mcdowell | Nurse Practitioner | 5950 University Ave Ste 341, West Des Moines, IA 50266-8289 | 2019-06-26 |
| 1144789694 | Mary Cannon | Nurse Practitioner | 5950 University Ave Ste 341, West Des Moines, IA 50266-8289 | 2019-03-14 |
| 1851857585 | Sarah B Lee | Nurse Practitioner | 5950 University Ave Ste 341, West Des Moines, IA 50266-8289 | 2019-02-19 |
| 1578049508 | Jessica D Reyes | Physician Assistant | 5950 University Ave Ste 341, West Des Moines, IA 50266-8289 | 2018-07-12 |
| 1023536265 | Deidra A Veach | Nurse Practitioner | 5950 University Ave Ste 341, West Des Moines, IA 50266 | 2017-09-08 |
| 1598203994 | Tara Patterson | Physician Assistant | 5950 University Ave Ste 341, West Des Moines, IA 50266-8289 | 2017-02-06 |
| 1750733937 | Colleen Adele Rubinetti | Nurse Practitioner | 5950 University Ave Ste 341, West Des Moines, IA 50266 | 2016-07-12 |
| 1205288669 | Megan Bosak Duff | Physician Assistant | 5950 University Ave Ste 341, West Des Moines, IA 50266 | 2016-07-11 |
| 1881705523 | John Cochran | Urology | 5950 University Ave Ste 341, West Des Moines, IA 50266 | 2006-08-31 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689887416 | Carl Anselm Meyer | Urology | 5950 University Ave, Ste 341, West Des Moines, IA 50266 | 2007-05-08 |
| 1881705523 | John Cochran | Urology | 5950 University Ave Ste 341, West Des Moines, IA 50266 | 2006-08-31 |
| 1730117730 | Mark E Leo | Urology | 5950 University Ave Ste 341, West Des Moines, IA 50266-8289 | 2006-06-29 |
| 1659328540 | Anthony Avallone | Urology | 5950 University Ave Ste 341, West Des Moines, IA 50266-8289 | 2006-05-27 |
| 1861488785 | Steven J Rosenberg | Urology | 5950 University Ave, Ste 341, West Des Moines, IA 50266 | 2005-09-26 |
| 1922094887 | Harlan K Rosenberg | Urology | 5950 University Ave, Ste 341, West Des Moines, IA 50266-8216 | 2005-09-26 |
| 1518951532 | Jonathan M Fialkov | Urology | 5950 University Ave, Ste 341, West Des Moines, IA 50266-8216 | 2005-09-06 |
| 1841283447 | John Clark Bardole | Urology | 5950 University Ave, Ste 341, West Des Moines, IA 50266-8216 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871944017 | Ahmed Alkaram | Urology | 1229 Hunters Run, Iowa City, IA 52246-8670 | 2016-06-29 |
| 1548414188 | Garrett Steven Korrect | Urology | 1215 Duff Avenue., Mcfarland Clinic. PC, Ames, IA 50010-3014 | 2008-11-10 |
| 1083898779 | Alexandria Urology P.C. | Urology | 112 Park Lane, Room 5, Waterloo, IA 50701 | 2007-12-18 |
| 1194930081 | Damon J. Dyche | Urology | 1215 Duff Ave., Mcfarland Clinic, PC, Ames, IA 50010-3014 | 2007-05-14 |
| 1407831365 | Burlington Urology PC | Urology | 400 S Broadway St, Burlington, IA 52601 | 2005-12-13 |
| 1124018999 | Paul E.l. Richardson | Urology | 3410 Kimball Ave, Waterloo, IA 50702-5735 | 2005-10-24 |
| 1679567663 | Richard L Glowacki | Urology | 1350 Des Moines St Ste 100, Des Moines, IA 50309-5507 | 2005-09-06 |
| 1801889472 | Markham J Anderson | Urology | 2943 Northgate Dr, Iowa City, IA 52245-9571 | 2005-08-29 |
| 1003818493 | Fawad Sabooh Zafar | Urology | 13682 Lake Shore Dr, Clive, IA 50325-8640 | 2005-08-15 |
| 1205834793 | Gordon Goldsmith | Urology | 2943 Northgate Drive, Iowa City, IA 52245 | 2005-07-08 |
| Find all providers with the same taxonomy | ||||
| City | WEST DES MOINES |
| Zip Code | 50266 |
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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.