KENNETH J. MONSMA (NPI# 1477521938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477521938 |
| Entity Type | Individual |
| Full Name | KENNETH J. MONSMA |
| Credential | MD |
| Practice Address |
411 Merrill Street Bussey IA 50044 |
| Mailing Address |
405 Monroe St Pella IA 50219-1189 |
| Practice Telephone | 6419445813 |
| Practice Fax Number | 6419445258 |
| Mailing Telephone | 6416283832 |
| Mailing Fax Number | 6416288894 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2007-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 16953 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | RAILROAD MEDICARE | 2032508 | 01 |
| IA | 2032508 | 05 |
| Street Address |
411 MERRILL STREET |
| City | BUSSEY |
| State | IA |
| Zip Code | 50044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013064955 | Twin Cedars Community Schools | Local Education Agency (LEA) | 2204 Highway G71, Bussey, IA 50044-7512 | 2007-01-04 |
| 1073615274 | City of Bussey | Ambulance | 313 5th St, Bussey, IA 50044-7726 | 2006-09-01 |
| 1073735072 | Dennis J Miller | Contractor | 1363 325th St, Bussey, IA 50044-8007 | 2007-05-02 |
| 1013163971 | Carl William Carlson | General Practice | 205 Merrill St, Bussey, IA 50044-8135 | 2008-08-12 |
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013163971 | Carl William Carlson | General Practice | 205 Merrill St, Bussey, IA 50044-8135 | 2008-08-12 |
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|---|---|---|---|---|
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| 1578124921 | Lmmc Des Moines Lllp | General Practice | 1300 37th St Ste 1, West Des Moines, IA 50266-1900 | 2019-06-26 |
| 1861951568 | Lmmc Council Bluffs Lllp | General Practice | 20 Power Dr Ste 5, Council Bluffs, IA 51501-7701 | 2019-03-13 |
| 1265919948 | Oelwein Community Healthcare Foundation | General Practice | 2405 Rock Island Road, Oelwein, IA 50662-5066 | 2018-07-25 |
| 1447638960 | Joel H Silver | General Practice | 2000 N Court St Trlr 4c, Fairfield, IA 52556-2078 | 2015-05-16 |
| 1619397288 | Deanna Mcgarity | General Practice | 4511 Crestmoor Dr, Des Moines, IA 50310-3794 | 2014-04-22 |
| 1811339203 | Siddiq A. Khan | General Practice | 520 S. Pierce Ave. Suite 150, Mason City, IA 50401 | 2013-07-25 |
| 1235475088 | New Leaf Wellness | General Practice | 12129 University Ave Ste 1500, Clive, IA 50325-8287 | 2012-12-26 |
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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.