IOWA ORTHOPAEDIC CENTER, P.C. (NPI# 1164600227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164600227 |
| Entity Type | Organization |
| Organization Name | IOWA ORTHOPAEDIC CENTER, P.C. |
| Other Organization Name | OPEN MRI CENTER |
| Practice Address |
450 Laurel St Ste C Des Moines IA 50314-3045 |
| Mailing Address |
450 Laurel St Ste A Des Moines IA 50314-3045 |
| Practice Telephone | 5152479590 |
| Practice Fax Number | 5153627916 |
| Mailing Telephone | 5152478400 |
| Mailing Fax Number | 5152488888 |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2010-09-01 |
| Authorized Official Name | JOSHUA D KIMELMAN (PAST PRESIDENT) |
| Authorized Official Telephone | 5152478400 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0271775 | 05 | |
| IA | MEDICARE | 27177 | 01 |
| Other Name | Type Code |
|---|---|
| OPEN MRI CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639655087 | Iowa Orthopaedic Center, P.C. | Orthopaedic Surgery | 1121 Jordan Creek Pkwy Ste 180, West Des Moines, IA 50266-5816 | 2018-07-18 |
| 1326378720 | Iowa Orthopaedic Center, P.C. | Orthopaedic Surgery | 450 Laurel St, Ste A, Des Moines, IA 50314-3045 | 2010-01-06 |
| 1578795498 | Iowa Orthopaedic Center, P.C. | Orthopaedic Surgery | 5900 E University Ave, Ste 201, Pleasant Hill, IA 50327-8457 | 2009-08-11 |
| 1821288150 | Iowa Orthopaedic Center, P.C. | Orthopaedic Surgery | 1601 Nw 114th St, Ste 136, Des Moines, IA 50325-7007 | 2007-08-01 |
| 1881884112 | Iowa Orthopaedic Center, P.C. | Durable Medical Equipment & Medical Supplies | 710 E 1st St, Ankeny, IA 50021-2007 | 2007-08-01 |
| 1811187131 | Iowa Orthopaedic Center, P.C. | Orthopaedic Surgery | 1221 Pleasant St, Ste 590, Des Moines, IA 50309-1423 | 2007-08-01 |
| 1396936621 | Iowa Orthopaedic Center, P.C. | Orthopaedic Surgery | 804 Kenyon Rd, Ste 320, Fort Dodge, IA 50501-5742 | 2007-08-01 |
| 1598955817 | Iowa Orthopaedic Center, P.C. | Physical Medicine & Rehabilitation | 500 Jefferson St, Pella, IA 50219-1255 | 2007-08-01 |
| 1669579785 | Iowa Orthopaedic Center, P.C. | Orthopaedic Surgery | 450 Laurel St, Ste A, Des Moines, IA 50314-3045 | 2006-09-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | IOWA ORTHOPAEDIC CENTER, P.C. | 450 Laurel St, Des Moines, IA 50314-3027 |
| Iowa Business Entities | IOWA ORTHOPAEDIC CENTER, P.C. | 450 Laurel Street, Des Moines, IA 50314 |
| Street Address |
450 LAUREL ST STE C |
| City | DES MOINES |
| State | IA |
| Zip Code | 50314-3045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497754691 | Michael Howard Munhall | Physical Medicine & Rehabilitation | 450 Laurel St, Ste A, Des Moines, IA 50314-3045 | 2005-07-19 |
| 1215534474 | Carter Trager | Physical Therapist | 450 Laurel St, Des Moines, IA 50314-3045 | 2020-10-01 |
| 1861911869 | Christina Lee Abernathy | Specialist/Technologist | 450 Laurel St, Des Moines, IA 50314 | 2017-09-12 |
| 1902344377 | Tanner Neuberger | Physical Therapist | 450 Laurel St, Des Moines, IA 50314-3045 | 2017-02-06 |
| 1093258493 | Amanda Marchino | Contractor | 450 Laurel St, Des Moines, IA 50314-3045 | 2016-12-02 |
| 1770026387 | Ashley Padget | Specialist/Technologist | 450 Laurel St, Suite B, Des Moines, IA 50314-3045 | 2016-11-30 |
| 1124560511 | Jordyn Lea Weinard | Specialist/Technologist | 450 Laurel St, Ste B, Des Moines, IA 50314-3045 | 2016-11-16 |
| 1275075673 | Kristen Watson | Specialist/Technologist | 450 Laurel St, Des Moines, IA 50314-3045 | 2016-11-16 |
| 1609318138 | Megan Frizzell | Specialist | 450 Laurel St, Des Moines, IA 50314-3045 | 2016-11-15 |
| 1578005294 | Kenan Sarkic | Specialist/Technologist | 450 Laurel St, Des Moines, IA 50314-3045 | 2016-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982266979 | Dental Connections, Inc. | Dentist | 1111 9th Street, Suite 190, Des Moines, IA 50314 | 2019-07-01 |
| 1760910723 | Kelsey Taylor | Social Worker | 1761 Hickman Rd, Des Moines, IA 50314 | 2017-06-02 |
| 1184085672 | Allison J Robbins | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2016-03-11 |
| 1083081715 | Taylor Witzel | Specialist/Technologist | 450 Laurel Street, Des Moines, IA 50314 | 2015-08-28 |
| 1376893933 | Caring Hearts LLC | In Home Supportive Care | 1620 Pleasant, #245, Des Moines, IA 50314 | 2012-09-11 |
| 1104117522 | Akinbode Solomon Egbelakin | Pediatrics | 1111 6th Ave # Main3, Des Moines, IA 50314 | 2011-04-20 |
| 1447488325 | Abdelaziz Elhaddad | Internal Medicine | 95 University Avenue, Suite 1, Des Moines, IA 50314 | 2009-06-30 |
| 1356584080 | Tara Michelle Graff | Internal Medicine | 411 Laurel Street Suite A300, Des Moines, IA 50314 | 2009-04-10 |
| 1700068517 | Planned Parenthood of The Heartland | Family Medicine | 123 Clark Street, Des Moines, IA 50314 | 2007-12-04 |
| 1790903235 | Christy J. Meyer | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2007-04-22 |
| Find all providers in zip 50314 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952483554 | Philip Bakody | Radiology | 615 Park St, Suite 1207, Des Moines, IA 50309-1601 | 2006-10-20 |
| 1629166707 | Thomas Edmund Murphy | Radiology | 3507 Skyline Dr, Des Moines, IA 50310-5050 | 2006-10-11 |
| 1528030194 | Diagnostic Imaging Associates, P.C. | Radiology | 1111 Sixth Avenue, Des Moines, IA 50314-2611 | 2006-02-07 |
| 1558356220 | Michael Quinn | Radiology | 700 E University Ave, Des Moines, IA 50316-2302 | 2005-09-19 |
| 1497016273 | Raviv Ramdial | Radiology | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2012-06-07 |
| 1861791311 | Zachary J Viets | Radiology | 1111 6th Ave, Des Moines, IA 50314-2613 | 2011-03-23 |
| 1245551274 | Joseph Jay Vavricek | Radiology | 1111 6th Ave, Des Moines, IA 50314-0000 | 2010-06-14 |
| 1346449709 | Seth William Gibson | Radiology | 1111 6th Ave, Des Moines, IA 50314-2613 | 2007-07-16 |
| 1053439059 | Mark Christopher Johnson | Radiology | 1111 6th Ave, Des Moines, IA 50314-2613 | 2007-03-27 |
| 1689712408 | William A Manzo | Radiology | 1111 6th Ave, Des Moines, IA 50314-2613 | 2007-02-02 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50314 |
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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.