Stadia Sports Medicine Pc in West Des Moines - Neuromusculoskeletal Medicine, Sports Medicine
Stadia Sports Medicine Pc - NPI 1962453274
Stadia Sports Medicine Pc is a Neuromusculoskeletal Medicine, Sports Medicine in West Des Moines, Iowa. Stadia Sports Medicine Pc practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine, Sports Medicine. The NPI Number for Stadia Sports Medicine Pc is 1962453274. The last update date is 2017-08-16.
Stadia Sports Medicine Pc's current location address is 6000 University Ave, West Des Moines, Iowa. You can contact this provider via phone number 5152211102 and fax number 5152211272. The mailing address for Stadia Sports Medicine Pc is 6000 University Ave, West Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Stadia Sports Medicine Pc |
|---|---|
| Address | 6000 University Ave, West Des Moines, Iowa |
| Phone Number | 5152211102 |
| Fax Number | 5152211272 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO, STADI |
|---|---|
| Authorized Official Name | Carlson Thomas Chad |
| Credentials | M.D. |
| Telephone Number | 5152211102 |
NPI Number Detail
| NPI Number | 1962453274 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2017-08-16 |
Provider Mailing Address Detail
| Address | 6000 University Ave |
|---|---|
| City | West Des Moines |
| State | Iowa (IA) |
| Post Code | 50266 |
| Phone Number | 5152211102 |
| Fax Number | 5152211272 |
Provider's Primary Taxonomy Detail
| Speciality | Neuromusculoskeletal Medicine, Sports Medicine |
|---|---|
| Taxonomy | 204C00000X |
| Licence No | 36501 |
|
Definition: A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice |
|
Post Comment/ Review Below
What is the Stadia Sports Medicine Pc's 1962453274?
The Stadia Sports Medicine Pc's NPI (National Provider Identifier) Number is 1962453274. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Stadia Sports Medicine Pc?
The Stadia Sports Medicine Pc is physically situated at 6000 University Ave, in the city of West Des Moines, state of IA, with the postal code 50266.
What is Stadia Sports Medicine Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stadia Sports Medicine Pc's area of specialization is Neuromusculoskeletal Medicine, Sports Medicine, and the corresponding taxonomy code that categorizes this field of practice is 204C00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1962453274 to Stadia Sports Medicine Pc?
The Centers for Medicare & Medicaid Services originally issued the 1962453274 to Stadia Sports Medicine Pc on 2006-05-12.
When was the information regarding Stadia Sports Medicine Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Stadia Sports Medicine Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-08-16.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY