Des Moines Pediatric & Adolescent Clinic in Des Moines - Pediatrics
Des Moines Pediatric & Adolescent Clinic - NPI 1194991109
Des Moines Pediatric & Adolescent Clinic is a Pediatrics in Des Moines, Iowa. Des Moines Pediatric & Adolescent Clinic practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Des Moines Pediatric & Adolescent Clinic is 1194991109. The last update date is 2020-12-10.
Des Moines Pediatric & Adolescent Clinic's current location address is 2301 Beaver Ave, Des Moines, Iowa. You can contact this provider via phone number 5152553181 and fax number 5152559392. The mailing address for Des Moines Pediatric & Adolescent Clinic is 2301 Beaver Ave, Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Des Moines Pediatric & Adolescent Clinic |
|---|---|
| Address | 2301 Beaver Ave, Des Moines, Iowa |
| Phone Number | 5152553181 |
| Fax Number | 5152559392 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Fornoff Rob |
| Credentials | M.D. |
| Telephone Number | 5152553181 |
NPI Number Detail
| NPI Number | 1194991109 |
|---|---|
| Provider Enumeration Date | 2008-04-30 |
| Last Updated Date | 2020-12-10 |
Provider Mailing Address Detail
| Address | 2301 Beaver Ave |
|---|---|
| City | Des Moines |
| State | Iowa (IA) |
| Post Code | 503103903 |
| Phone Number | 5152553181 |
| Fax Number | 5152559392 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Post Comment/ Review Below
What is the Des Moines Pediatric & Adolescent Clinic's unique identification number?
The Des Moines Pediatric & Adolescent Clinic has been assigned the NPI (National Provider Identifier) Number 1194991109 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Des Moines Pediatric & Adolescent Clinic is physically located?
The Des Moines Pediatric & Adolescent Clinic is physically situated at the following address: 2301 Beaver Ave, Des Moines, IA, 503103903.
What is Des Moines Pediatric & Adolescent Clinic's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Des Moines Pediatric & Adolescent Clinic is Pediatrics, and the taxonomy code that classifies this field of practice is 363Lp0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1194991109 to Des Moines Pediatric & Adolescent Clinic?
The Des Moines Pediatric & Adolescent Clinic received its 1194991109 assignment from the Centers for Medicare & Medicaid Services on 2008-04-30.
As of what date were the details pertaining to Des Moines Pediatric & Adolescent Clinic last refreshed?
The information related to the Des Moines Pediatric & Adolescent Clinic, including its address, specialty, and other relevant details, was last updated on 2020-12-10.
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