DIGESTIVE AND LIVER DISEASE CONSULTANTS, P.C.


Address: 1601 Nw 114th St, Ste 342, Clive, IA 50325-7007
Phone: 5152234823

DIGESTIVE AND LIVER DISEASE CONSULTANTS, P.C. (NPI# 1053312603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053312603
Entity Type Organization
Organization Name DIGESTIVE AND LIVER DISEASE CONSULTANTS, P.C.
Practice Address 1601 Nw 114th St
Ste 342
Clive
IA 50325-7007
Practice Telephone 5152234823
Practice Fax Number 5152230482
Mailing Telephone 5152234823
Mailing Fax Number 5152230482
Enumeration Date 2005-08-04
Last Update Date 2020-08-22
Authorized Official Name MS. KOREEN KAY LEMASTER RAYL (PRACTICE MANAGER)
Authorized Official Telephone 5152234823
Authorized Official Credential B.S.N., RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
IA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IA 0243857 05

Office Location

Street Address 1601 NW 114TH ST
STE 342
City CLIVE
State IA
Zip Code 50325-7007

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801890611 Deborah Huber Nurse Practitioner 1601 Nw 114th St, Ste 342, Clive, IA 50325-7036 2005-06-09
1578049367 Elizabeth Rachel Pedersen Pharmacist 1601 Nw 114th St, Clive, IA 50325-7007 2018-07-14
1689093551 Andrea Reser Physical Therapist 1601 Nw 114th St, Suite 155, Clive, IA 50325-7007 2014-04-08
1346580735 Mercy Clinics, Inc Occupational Therapist 1601 Nw 114th St, Clive, IA 50325-7007 2013-02-21
1942597315 Serenity Women's Clinic Obstetrics & Gynecology 1601 Nw 114th St, Suite 334, Clive, IA 50325-7007 2011-07-06
1528388998 Mercy Clinics, Inc Internal Medicine 1601 Nw 114th St, Suite 342, Clive, IA 50325-7036 2010-06-08
1689906448 Kellie Vermett Specialist/Technologist, Other 1601 Nw 114th St, Suite 244, Clive, IA 50325-7007 2010-02-04
1538390810 Janet Lebsack Occupational Therapist 1601 Nw 114th St, Suite 155, Clive, IA 50325-7046 2009-08-04
1285874362 Farhoud Khosravi Internal Medicine 1601 Nw 114th St, Suite 342, Clive, IA 50325-7007 2009-03-02
1629229091 Karen Kraemer Audiologist 1601 Nw 114th St, Suite 230, Clive, IA 50325-7007 2008-10-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104449446 Clive Behavioral Health LLC Psychiatric Hospital 1500 Nw 114th St, Clive, IA 50325 2020-05-21
1609426519 Caroline Silva Pereira Lara Ribeiro Occupational Therapist 15500 Boston Parkway, Appt 110, Clive, IA 50325 2019-09-13
1487203873 Karen Turnure Technician 4524 Nw 16th St, Clive, IA 50325 2019-09-09
1659920320 Phs Walnut Ridge LLC Skilled Nursing Facility 1703 Campus Drive, Clive, IA 50325 2019-09-05
1700288834 Lindsey White Chiropractor 12931 University Ave, Suite 103, Clive, IA 50325 2014-09-19
1811337389 Metro West Learning Center, LLC Counselor 13300 Hickman Rd Ste 110, Clive, IA 50325 2013-06-28
1700110343 Rodolfo Mallorca Legislador Sr. Family Medicine 1665 Nw 97th St., Clive, IA 50325 2009-09-30
1891961900 Erin Ducharme Dermatology 16349 Sheridan Drive, Suite 101, Clive, IA 50325 2008-05-08
1174792873 The Iowa Clinic PC Prosthetic/Orthotic Supplier 12655 University Ave, Ste 160, Clive, IA 50325 2008-02-27
1164623393 Melisa Coaker Internal Medicine 1275 Nw 128th St, Ste 200, Clive, IA 50325 2007-05-28
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275571747 Iowa Digestive Disease Center P.C. Internal Medicine 1378 Nw 124th Street, Suite 200, Clive, IA 50325 2006-06-04
1497757009 Allen R Kaufman Internal Medicine 1370 Nw 114th St, Suite 203, Clive, IA 50325-7030 2005-08-12
1093715690 Essam Y. Tellawi Internal Medicine 1601 Nw 114th St Ste 342, Clive, IA 50325-7036 2005-07-26
1528388998 Mercy Clinics, Inc Internal Medicine 1601 Nw 114th St, Suite 342, Clive, IA 50325-7036 2010-06-08
1588829188 Vinaya Vittal Gaduputi Internal Medicine 1601 Nw 114th St Ste 342, Clive, IA 50325-7036 2008-07-23
1336352772 Tercio Lopes Internal Medicine 1378 Nw 124th St, Clive, IA 50325-8151 2007-05-08
1689629537 Allen R. Kaufman, Md Internal Medicine 1370 Nw 114th St, Suite 203, Clive, IA 50325-7030 2006-05-22
1417908922 Thomas Lyle Martin Internal Medicine 1378 Nw 124th St, Suite 200, Clive, IA 50325-8151 2006-05-12
1295793420 Michael D Obrien Internal Medicine 1378 Nw 124th St, Suite 200, Clive, IA 50325-8151 2006-05-04
1912965146 Stacey S Roberts Internal Medicine 1378 Nw 124th St, Suite 200, Clive, IA 50325-8151 2006-05-04
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City CLIVE
Zip Code 50325

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Dataset Information

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.

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