Organization Active NPI

Des Moines Internal Medicine PC

  • Internal Medicine Physician
  • Des Moines, IA
National Provider Identifier
1114974961
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
02396 Issued in IA
Legal business name
DES MOINES INTERNAL MEDICINE PC
Practice address
1300 Walnut St
Suite 102
Des Moines, IA 50309-3401
Phone
(515) 243-1180
Fax
(515) 243-1461
NPI assigned
May 27, 2006
Last updated
May 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Carole A Frier, DONPI 1730151374
Title
Ceo
Phone
(515) 243-1180

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 02396 IA Primary

Addresses

Primary practice location

1300 Walnut St
Suite 102
Des Moines, IA 50309-3401

Mailing address

1300 Walnut St
Suite 102
Des Moines, IA 50309-3401
Phone (515) 243-1180

Other identifiers 1

IdentifierTypeStateIssuer
0476184MedicaidIA

National Provider Directory

National Provider Directory

Locations

1300 Walnut St
Ste 102
Des Moines, IA 50309
Phone (515) 243-1180

Practitioners & affiliated clinicians

Practitioners 2

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": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1114974961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 WALNUT ST",
            "address_2": "SUITE 102",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093401",
            "telephone_number": "515-243-1180",
            "fax_number": "515-243-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 WALNUT ST",
            "address_2": "SUITE 102",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093401",
            "telephone_number": "515-243-1180",
            "fax_number": "515-243-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DES MOINES INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "FRIER",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "515-243-1180",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "02396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0476184",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.