Active NPI
Noreen Ellen O'Shea, DO
- Family Medicine Physician
- Des Moines, IA
National Provider Identifier
1124016928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 02215
- Practice address
- 2353 SE 14TH St
Des Moines, IA 50320-1109 - Phone
- (515) 248-1400
- Fax
- (515) 248-1414
- NPI assigned
- Oct 6, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2215 | IA | |
| Family Medicine Physician | 207Q00000X | 4034 | SD | |
| Family Medicine Physician | 207Q00000X | 02215 | IA | Primary |
Addresses
Primary practice location
2353 SE 14TH St
Des Moines, IA 50320-1109
Mailing address
1200 University Ave Ste 200
Des Moines, IA 50314-2355
Phone (515) 248-1490
Other practice location 1
204 E Main St
Elk Point, SD 57025-0798
Phone (605) 356-3317
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2215 | IA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Health Resources | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Ponca, NE
- NPI 1619932373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588809600000",
"number": "1124016928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 UNIVERSITY AVE STE 200",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503142355",
"telephone_number": "515-248-1490",
"fax_number": "515-248-1440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2353 SE 14TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503201109",
"telephone_number": "515-248-1400",
"fax_number": "515-248-1414"
}
],
"practiceLocations": [
{
"address_1": "204 E Main St",
"address_purpose": "LOCATION",
"city": "Elk Point",
"state": "SD",
"postal_code": "570250798",
"country_code": "US",
"telephone_number": "605-356-3317",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'SHEA",
"first_name": "NOREEN",
"middle_name": "ELLEN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-06",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IA",
"license": "2215",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SD",
"license": "4034",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "02215",
"primary": true
}
],
"identifiers": [],
"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 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.