1144721853 NPI number — IOWA SPECIALTY SURGEONS LLP

Table of content: (NPI 1144721853)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144721853 NPI number — IOWA SPECIALTY SURGEONS LLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
IOWA SPECIALTY SURGEONS LLP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144721853
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/27/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4949 WESTOWN PKWY STE 100
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WEST DES MOINES
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
50266-6704
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
515-225-7001
Provider Business Mailing Address Fax Number:
515-440-1953

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4949 WESTOWN PKWY STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WEST DES MOINES
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50266-6704
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
515-225-7001
Provider Business Practice Location Address Fax Number:
515-440-1953
Provider Enumeration Date:
02/27/2018

Additional Information

Authorized Official

Authorized Official Last Name:
KUHNEN
Authorized Official First Name:
SUZANNE
Authorized Official Middle Name:
MICHELE
Authorized Official Title or Position:
PLASTIC SURGEON
Authorized Official Telephone Number:
515-225-7001

Provider Taxonomy Codes

  • Taxonomy code: 208600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1811094089 . This is a "NPI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1669418166 . This is a "NPI" identifier . This identifiers is of the category "OTHER".




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