Central Iowa Podiatry Inc
Organization Active NPI Podiatrist · Pella, IA
NPI 1003073206 · NPPES record last updated Oct 19, 2021
Key facts
- NPI
- 1003073206
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- License
- 00607 (IA)
- Legal business name
- CENTRAL IOWA PODIATRY INC
- Practice address
- 405 Monroe St
Pella, IA 50219-1189 - Phone
- (641) 628-3542
- NPI assigned
- May 16, 2008
- Organization subpart
- No
Authorized official
- Name
- Sean McMurray
- Title
- President
- Phone
- (641) 752-3338
Practitioners 1
-
Kevin Jon Mulvey, DPM
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | 00607 | IA | Yes |
Addresses
Primary practice location
405 Monroe St
Pella, IA 50219-1189
Mailing address
908 Washington St
Pella, IA 50219-1504
Phone (641) 628-3542
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003073206 | Medicaid | IA | |
| 1003073206 | Other | IA | WELLMARK BC/BS |
| 421440625-04 | Other | IA | UNITED HEALTHCARE |
| 1003073206 | Other | IA | UNITED HEALTHCARE |
| 480026192 | Other | IA | RR MEDICARE |
Other names
- Pella Foot & Ankle Clinic
Other providers in Pella, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.