INNOVATIVE RADIOLOGY LLC (NPI# 1700486776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700486776 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE RADIOLOGY LLC |
| Practice Address |
13409 Douglas Pkwy Des Moines IA 50323-2400 |
| Mailing Address |
Po Box 2660 Waterloo IA 50704-2660 |
| Practice Telephone | 3192602100 |
| Mailing Telephone | 3192602100 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Authorized Official Name | JOHN TENTINGER (OWNER) |
| Authorized Official Telephone | 3192602100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | INNOVATIVE RADIOLOGY LLC | 13409 Douglas Pkwy, Urbandale, IA 50323 |
| Street Address |
13409 DOUGLAS PKWY |
| City | DES MOINES |
| State | IA |
| Zip Code | 50323-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750736138 | Iowa Family Solutions | Counselor | 14202 Goodman Dr., Urbandale, IA 50323 | 2016-05-04 |
| 1215158290 | Amanda Denine Bruett | Counselor | 3606 131, Urbandale, IA 50323 | 2007-05-01 |
| 1467943332 | Renee Michelle Herbers | Specialist/Technologist | 3719 132nd Cir, Urbandale, IA 50323-1707 | 2018-05-25 |
| 1265813521 | Lawson Family Dentistry, LLC | Dentist | 4444 128th St, Urbandale, IA 50323-1728 | 2015-06-12 |
| 1437420981 | Brooks Cristopher Newton | Chiropractor | 4456 128th St, Urbandale, IA 50323-1728 | 2012-01-14 |
| 1578070074 | Michael Shawn Henrichs Jr. | Chiropractor | 4456 128th St, Urbandale, IA 50323-1728 | 2018-01-05 |
| 1700395365 | Dentistry for Children of Iowa Pllc | Dentist | 2401 128th St, Urbandale, IA 50323-1816 | 2017-09-27 |
| 1942311527 | Christopher James Mcdonald | Dentist | 2400 128th St, Urbandale, IA 50323-1816 | 2006-08-31 |
| 1730188160 | Greater Des Moines Dermatology PC | Dermatology | 2424 128th St, Nw 128th Street, Urbandale, IA 50323-1816 | 2005-07-18 |
| 1861022568 | Jacob Anthony Lorsung | Dermatology | 2424 128th St, Urbandale, IA 50323-1816 | 2020-01-22 |
| Find all providers in zip 50323 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174148548 | Aaron Patrick Cronican | Radiology | 1801 Hickman Rd, Des Moines, IA 50314-1597 | 2020-06-11 |
| 1457973158 | Donald Zhang | Radiology | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2020-05-15 |
| 1457918419 | Jamie L Strike | Radiology | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2019-05-24 |
| 1780177857 | Travis James Merritt | Radiology | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2018-06-12 |
| 1497247159 | Thomas P Lo Duca | Radiology | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2018-05-30 |
| 1598256703 | John A Burt | Radiology | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2018-05-23 |
| 1487183893 | Alyssa Kate Plouzek | Radiology | 1801 Hickman Road, Des Moines, IA 50314 | 2017-06-08 |
| 1477080398 | Joshua Douglas States | Radiology | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2017-05-23 |
| 1487004529 | Tyler Andrew Smith | Radiology | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2016-06-20 |
| 1588014617 | Mark Andrew Mingo | Radiology | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2016-06-20 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50323 |
Please comment or provide details below to improve the information on INNOVATIVE RADIOLOGY LLC.
| 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.