Organization Active NPI

West Grand Medical Associates,P.C.

  • Family Medicine Physician
  • West Des Moines, IA
National Provider Identifier
1093795411
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3475 Issued in IA
Legal business name
WEST GRAND MEDICAL ASSOCIATES,P.C.
Practice address
119 19TH St
Ste 106
West Des Moines, IA 50265-4226
Phone
(515) 226-0112
Fax
(515) 226-0208
NPI assigned
Jan 20, 2006
Last updated
Aug 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Authorized official

Name
Mr. Robert H Major, MDNPI 1306812904
Title
Physician
Phone
(515) 226-0112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25404 IA
Family Medicine Physician 207Q00000X 001418 IA
Family Medicine Physician 207Q00000X 3475 IA Primary

Addresses

Primary practice location

119 19TH St
Ste 106
West Des Moines, IA 50265-4226

Mailing address

119 19TH St
Ste 106
West Des Moines, IA 50265-4226
Phone (515) 226-0112

Other identifiers 7

IdentifierTypeStateIssuer
1236604MedicaidIA
IA0111OtherIAJOHN DEERE
080035337OtherIARR MEDICARE
1430231MedicaidIA
IA0102OtherIAJOHN DEERE
0283879MedicaidIA
36457OtherBLUE CROSS

National Provider Directory

National Provider Directory

Locations

119 19th St
Ste 106
West Des Moines, IA 50265
Phone (515) 226-0112

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1093795411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 19TH ST",
            "address_2": "STE 106",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502654226",
            "telephone_number": "515-226-0112",
            "fax_number": "515-226-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 19TH ST",
            "address_2": "STE 106",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502654226",
            "telephone_number": "515-226-0112",
            "fax_number": "515-226-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GRAND MEDICAL ASSOCIATES,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "MAJOR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "515-226-0112",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "25404",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "001418",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "3475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1236604",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "IA0111",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080035337",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1430231",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "IA0102",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0283879",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "36457",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.