Adam Jon Secory, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

DO-03870 Issued in IA

Practice address

1025 SE Tallgrass Lane Ste 260
Waukee, IA 50263

Phone

(515) 875-9420

Fax

(515) 875-8201

NPI assigned

Jan 17, 2006

Last updated

Feb 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: asecory12801@direct.unitypoint.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Iowa Clinic PC

  dba The Iowa Clinic

  • Family Medicine Physician
  • West Des Moines, IA
  • NPI 1346233178
  Medicare reassignment NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• The Iowa Clinic, PC

  • Durable Medical Equipment & Medical Supplies
  • West Des Moines, IA
  • NPI 1871451328
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1053391177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 424",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503020424",
            "telephone_number": "515-875-9925",
            "fax_number": "515-875-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 SE TALLGRASS LANE STE 260",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "50263",
            "telephone_number": "515-875-9420",
            "fax_number": "515-875-8201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5950 University Ave",
            "address_2": "Suite 250",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "50266",
            "country_code": "US",
            "telephone_number": "515-875-9420",
            "fax_number": "515-875-9422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "842 NE Alices Rd",
            "address_purpose": "LOCATION",
            "city": "Waukee",
            "state": "IA",
            "postal_code": "502638857",
            "country_code": "US",
            "telephone_number": "515-875-9610",
            "fax_number": "515-875-9611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SECORY",
        "first_name": "ADAM",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "DO-03870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adamsecory@tic.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "842 NE Alices Rd",
            "city": "Waukee",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502638857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Claire Elizabeth Schaefer, OT
• Rebecca Jean Schleuger-Valadao, A.R.N.P.
• Jennifer Marie Schmelzle, DPT
• William H Schupp, MD
• Amanda Marie Seaberg, DDS
• Trenton Semmens, DPT
• Senior Living Waukee, LLC (The Village at Legacy Pointe)
• Senior Living Waukee, LLC (The Village at Legacy Point Nursing Facility)
• Serenity Care and Life Skills Services LLC
• Emily Seuferer, OD

• Pediatrics Physician in Waukee, IA
• Providers in Waukee, IA by specialty
• Pediatrics Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.