IOWA DIAGNOSTIC IMAGING & PROCEDURE


Address: 4200 University Ave, Suite 104, West Des Moines, IA 50266-5945
Phone: 5159610453

IOWA DIAGNOSTIC IMAGING & PROCEDURE (NPI# 1508281205) 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) 1508281205
Entity Type Organization
Organization Name IOWA DIAGNOSTIC IMAGING & PROCEDURE
Other Organization Name CENTRAL IOWA HOSPITAL CORP MEMBER
Practice Address 4200 University Ave
Suite 104
West Des Moines
IA 50266-5945
Practice Telephone 5159610453
Practice Fax Number 5159612714
Enumeration Date 2014-03-04
Last Update Date 2014-03-04
Authorized Official Name CHERI TIEDEMANN (BILLING OFFICE COORDINATOR)
Authorized Official Telephone 5159610453
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IA 2073326 05

Other Provider/Organization Names

Other Name Type Code
Central Iowa Hospital Corp Member Other Name - Individual/Organization

Office Location

Street Address 4200 UNIVERSITY AVE
SUITE 104
City WEST DES MOINES
State IA
Zip Code 50266-5945

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134100324 Jennifer Marie Thomsen Nurse Anesthetist, Certified Registered 4200 University Ave, Suite 300, West Des Moines, IA 50266-5945 2005-11-07
1215317458 Chelsea Lynn Stiles Anesthesiology 4200 University Ave, Suite 300, West Des Moines, IA 50266-5945 2015-06-03
1134533110 Gautam Kumar Reddy Anesthesiology 4200 University Ave, Suite 300, West Des Moines, IA 50266-5945 2014-06-17
1396174272 Hilary Klein Nurse Anesthetist, Certified Registered 4200 University Ave, Suite 300, West Des Moines, IA 50266-5945 2013-11-01
1891133765 Tyler Voigt Anesthesiology 4200 University Ave, Suite 300, West Des Moines, IA 50266-5945 2013-06-12
1881951275 Devin Gunnar Lindstrom Anesthesiology 4200 University Ave, Suite 300, West Des Moines, IA 50266-5945 2012-04-23
1407140346 Christopher Kelley Surgery 4200 University Ave, Suite 300, West Des Moines, IA 50266-5945 2011-06-08
1316266034 Tyler Christopher Kerr Anesthesiology 4200 University Ave, Suite 300, West Des Moines, IA 50266-5945 2010-05-20
1144451907 Brenton Eugene Freeman Specialist 4200 University Ave, Suite 300, West Des Moines, IA 50266-5945 2009-07-28
1447490594 Zachariah Stanley Pederson Anesthesiology 4200 University Ave, Suite 300, West Des Moines, IA 50266-5945 2009-03-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013544667 Annie Penquite Physician Assistant 6001 Westown Pwky, West Des Moines, IA 50266 2020-03-24
1730733205 Erin Allyn Fiala Counselor 1200 Valley West Dr Suite 508, West Des Moines, IA 50266 2019-08-01
1598325151 Cornerstone Pediatrics and Family Allergy, Plc Pediatrics 6800 Lake Drive, #260, West Des Monies, IA 50266 2019-06-17
1093286395 Ccrc of West Des Moines, LLC Skilled Nursing Facility 8950 Coachlight Drive, West Des Moines, IA 50266 2018-12-12
1326517400 Merit Hearing LLC Audiologist-Hearing Aid Fitter 2910 Westown Pkwy Ste 110, West Des Moines, IA 50266 2018-11-18
1699253807 Diamond Home Health Care Services Home Health 4949 Weston Pkwy Ste 165 #836, West Des Moines, IA 50266 2018-07-31
1285129932 Hy Vee Inc Pharmacy 375 South Jordan Creek Parkway, West Des Moines, IA 50266 2018-06-26
1669965208 Rx Precision, Inc. Case Management 6205 Mills Civic Pkwy Ste 201, West Des Moines, IA 50266 2018-06-08
1912406588 Cora Schuhmacher, Psy.d., Pllc Psychologist 1045 76th St Unit 3030, West Des Moines, IA 50266 2018-02-08
1508374778 Brian L Bentley Counselor 5500 Wild Rose Lane, Suite 400, West Des Moines, IA 50266 2018-01-22
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770558280 Pil Sun Kang Radiology 5950 University Ave Ste 145, West Des Moines, IA 50266-8233 2006-02-19
1225303415 Ian Koch Radiology 5950 University Ave Ste 145, West Des Moines, IA 50266 2012-03-20
1083841647 Nicholas Klauer Sullivan Radiology 5950 University Ave Ste 145, West Des Moines, IA 50266-8233 2009-06-22
1487813903 Rachel Ann Berger Preisser Radiology 5950 University Ave Ste 145, West Des Moines, IA 50266 2008-06-09
1841460250 Nabil N Faltas, Md, PC Radiology 6000 University Ave, Suite 140, West Des Moines, IA 50266-8203 2008-03-03
1730128109 Joshua Lee Rosebrook Radiology 5950 University Ave, Ste 145, West Des Moines, IA 50266 2006-06-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821411547 Robert Picchiotti Radiology 2189 Saint Andrews Cir, Bettendorf, IA 52722-6655 2014-01-31
1295097970 Alexander Macrae Harvin Radiology 5095 S Shore Dr, Clear Lake, IA 50428 2012-06-08
1871825281 Gregory Day Radiology 2609 Bittersweet Pl, Burlington, IA 52601-2510 2010-02-10
1891921813 Christopher M. Luty Radiology 378 N Scott Blvd, Iowa City, IA 52245-4110 2009-06-04
1609012145 Kfl Radiology Plc Radiology 1002 River Forest Ct, Fort Dodge, IA 50501-7019 2009-01-06
1447400288 Sarah Pauley Radiology Radiology Consultants of Iowa, Plc, 1948 1st Ave Ne, Cedar Rapids, IA 52402-5321 2008-09-29
1982869764 Khaled Ali Hamada Radiology 801 Fifth Street, Sioux City, IA 51101-1326 2008-07-22
1902068083 Ashlesha Sharma Radiology 3617 Ross Rd, Ames, IA 50014 2008-06-30
1598961187 Shiv Patel Radiology 200 Hawkins Dr Dept Of, Iowa City, IA 52242 2007-06-21
1164640041 Bryan P Navarette Radiology 1010 4th St Sw Ste 100, Mason City, IA 50401-2856 2007-04-23
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Competitor

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City WEST DES MOINES
Zip Code 50266

Improve Information

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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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