NOVA INTEGRATED HEALTH, PC (NPI# 1417412750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417412750 |
Entity Type | Organization |
Organization Name | NOVA INTEGRATED HEALTH, PC |
Practice Address |
2675 N Ankeny Blvd Ste 113 Ankeny IA 50023-4719 |
Mailing Address |
1103 Ridgetop Dr Huxley IA 50124-4704 |
Practice Telephone | 5152894549 |
Enumeration Date | 2019-01-31 |
Last Update Date | 2019-01-31 |
Authorized Official Name | TAYLOR VANDEN WYNBOOM (OWNER, CEO) |
Authorized Official Telephone | 5152894549 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | NOVA INTEGRATED HEALTH, PC | 1103 Ridgetop Dr., Huxley, IA 50124 |
Street Address |
2675 N ANKENY BLVD STE 113 |
City | ANKENY |
State | IA |
Zip Code | 50023-4719 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114549847 | Jenica Dunavan | Nurse Practitioner | 2675 N Ankeny Blvd Ste 113, Ankeny, IA 50023-4719 | 2020-05-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356956916 | Jennifer Cherop Cheruiyot | Nurse Practitioner | 215 Nw 18th St, Ankeny Ia 50023, Ankeny, IA 50023 | 2020-09-10 |
1659904803 | Ikc, LLC | Clinic/Center | 8736 Nw 27th Court, Ankeny, IA 50023 | 2020-02-17 |
1104457126 | Achieve Tms Centers Central PC | Psychiatry & Neurology | 1517 N. Ankeny Blvd., Suite E, Ankeny, IA 50023 | 2020-01-29 |
1023663994 | Janet Lynn Rieckhoff | Counselor | 1517 N. Ankeny Blvd, Suite D, Ankeny, IA 50023 | 2019-08-07 |
1790344158 | Jacquelyn Olson Leech | Counselor | 2301 W. 1st Street, Ste 4, Ankeny, IA 50023 | 2019-06-10 |
1063077717 | Benjamin Kohler | Chiropractor | 1201 Sw State St, Suite 101, Ankeny, IA 50023 | 2019-05-08 |
1831657857 | Michael E Mcinroy | Counselor | 1609 N. Ankeny Blvd., Suite 210, Ankeny, IA 50023 | 2019-03-08 |
1396231825 | Catherine Walters | Counselor | 1609 N. Ankeny Blvd, Suite 210, Ankeny, IA 50023 | 2018-07-09 |
1053804617 | Ankeny Family Counseling | Counselor | 2301 W. 1st St. #4, Ankeny, IA 50023 | 2018-06-08 |
1952831521 | Michael Weston Sinklier | Family Medicine | 1360 Nw 18th Street, Ste 102, Ankeny, IA 50023 | 2017-06-15 |
Find all providers in zip 50023 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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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.