KELLI A ROENFANZ (NPI# 1033340567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033340567 |
| Entity Type | Individual |
| Full Name | KELLI A ROENFANZ |
| Credential | DO |
| Practice Address |
840 East University Avenue Des Moines IA 50316-2304 |
| Mailing Address |
840 E University Ave Des Moines IA 50316-2304 |
| Practice Telephone | 5152654211 |
| Practice Fax Number | 5153095993 |
| Mailing Telephone | 5152654211 |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2020-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DO-04109 | IA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 62118 | MN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | R-8696 | IA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15111 Twelve Oaks Center Dr, Minnetonka, MN 553055201 | 9529934500 | |
| 840 East University Avenue, Des Moines, IA 503162304 | 5152654211 | 5153095993 |
| Street Address |
840 EAST UNIVERSITY AVENUE |
| City | DES MOINES |
| State | IA |
| Zip Code | 50316-2304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477721686 | Kristin K Horning | Pharmacist | 840 East University Avenue, Des Moines, IA 50316 | 2008-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626320 | Restoration Behavioral Health Center, Inc. | Clinic/Center | 1235 Sampson Street, Des Moines, IA 50316 | 2020-10-12 |
| 1154928497 | Yeshua Reentry and Recovery Center Inc | Community Health Worker | 1235 Sampson St, Des Moines, IA 50316 | 2020-10-08 |
| 1639594484 | Tripti Kaul | Dentist | 1345 E. University Avenue, #302, Des Moines, IA 50316 | 2014-03-03 |
| 1184979023 | Ashley Marie Mundt | Physical Therapist | 710 Riverview Street, Des Moines, IA 50316 | 2012-07-17 |
| 1942562020 | Angela Maria Runkel | Nurse Practitioner | 1201 Penn Avenue, Penn Avenue Internal Medicine, Des Moines, IA 50316 | 2012-06-13 |
| 1821390121 | Recovercare LLC | Durable Medical Equipment & Medical Supplies | 2117 Dixon St, Des Moines, IA 50316 | 2010-11-19 |
| 1588838841 | Leenu Mishra | Psychiatry & Neurology | 700 East University Ave 3 West, Blank Childrens Psychiatry, Des Moines, IA 50316 | 2008-04-17 |
| 1770695488 | Terrance O Kurtz | Internal Medicine | 2100 Dixon, Suite E Concentra Clinic, Des Moines, IA 50316 | 2006-08-31 |
| 1487281085 | Timothy Andrew Flynn | Behavioral Analyst | 1301 Pennsylvania Ave, Suite #305, Des Moines, IA 50316 | 2020-03-24 |
| 1700370624 | Ericka Marie Tank | Family Medicine | 840 E University Ave, Des Moines, IA 50316 | 2018-06-15 |
| Find all providers in zip 50316 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851861587 | Clayton Health Systems, Inc | Family Medicine | 351 Francis Avenue, Des Moines, NM 88418 | 2018-11-26 |
| 1982043014 | Angela De Hamer | Family Medicine | 1111 6th Ave Fl 4, Des Moines, IA 50314-2610 | 2013-06-21 |
| 1174962500 | Paul Lyndon Nurmi | Family Medicine | 6601 Sw Ninth Street, Des Moines, IA 50315-6138 | 2013-06-19 |
| 1356780647 | Jenna L W Ridlen | Family Medicine | 1350 Des Moines Street, Suite 110, Des Moines, IA 50309-5507 | 2013-06-19 |
| 1639461007 | Gwen George Luepke | Family Medicine | 2725 Merle Hay Rd, Des Moines, IA 50310-1134 | 2011-05-04 |
| 1083926414 | Steven R Morris | Family Medicine | 840 E University Avenue, Des Moines, IA 50316-2304 | 2010-07-14 |
| 1922258474 | Dennis Lee Anderson | Family Medicine | 5221 Village Run Ave, Unit 1602, Des Moines, IA 50317-4979 | 2008-09-21 |
| 1700068517 | Planned Parenthood of The Heartland | Family Medicine | 123 Clark Street, Des Moines, IA 50314 | 2007-12-04 |
| 1760681597 | Jose G Aguilar | Family Medicine | 1350 Des Moines St., Ste 110, Des Moines, IA 50309-5526 | 2007-07-12 |
| 1164646691 | Sara Esther Sutton | Family Medicine | 3219 Sw 39th St, Des Moines, IA 50321-1304 | 2007-04-13 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50316 |
Please comment or provide details below to improve the information on KELLI A ROENFANZ.
| 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.