Fishomen P.C. in West Des Moines - General Practice
Fishomen P.C. - NPI 1700053006
Fishomen P.C. is a General Practice in West Des Moines, Iowa. Fishomen P.C. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Fishomen P.C. is 1700053006. The last update date is 2008-05-15.
Fishomen P.C.'s current location address is 4100 University Ave, West Des Moines, Iowa. You can contact this provider via phone number 5152238800 and fax number 5152231437. The mailing address for Fishomen P.C. is 4100 University Ave, West Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fishomen P.C. |
|---|---|
| Address | 4100 University Ave, West Des Moines, Iowa |
| Phone Number | 5152238800 |
| Fax Number | 5152231437 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Thomas Rico Phelan |
| Credentials | DDS |
| Telephone Number | 5152238800 |
NPI Number Detail
| NPI Number | 1700053006 |
|---|---|
| Provider Enumeration Date | 2008-05-15 |
| Last Updated Date | 2008-05-15 |
Provider Mailing Address Detail
| Address | 4100 University Ave |
|---|---|
| City | West Des Moines |
| State | Iowa (IA) |
| Post Code | 502665956 |
| Phone Number | 5152238800 |
| Fax Number | 5152231437 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 7198 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code issued to Fishomen P.C. by the Centers for Medicare & Medicaid Services?
The Fishomen P.C. has been assigned the NPI (National Provider Identifier) 1700053006 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Fishomen P.C. is physically located?
The Fishomen P.C. is physically situated at the following address: 4100 University Ave, West Des Moines, IA, 502665956.
What is the Fishomen P.C.'s area of specialization and corresponding taxonomy classification?
The Fishomen P.C.'s specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Fishomen P.C. receive its 1700053006 assignment from the Centers for Medicare & Medicaid Services?
The Fishomen P.C. was assigned its 1700053006 by the Centers for Medicare & Medicaid Services on 2008-05-15.
As of what date were the Fishomen P.C.'s details last updated?
The information pertaining to the Fishomen P.C., including its address, specialty, and other details, was most recently updated on 2008-05-15.