Des Moines River Physicians, LLC
Organization Active NPI Emergency Medicine Physician · Newton, IA
NPI 1174907703 · NPPES record last updated Feb 5, 2020
Key facts
- NPI
- 1174907703
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- DES MOINES RIVER PHYSICIANS, LLC
- Practice address
- 204 N 4TH Ave E
Newton, IA 50208-3135 - Phone
- (641) 792-1273
- NPI assigned
- Jul 14, 2015
- Organization subpart
- No
Authorized official
- Name
- Kim H Larsen
- Title
- Director of Credentialing
- Phone
- (770) 874-5400
Other NPIs on the same Medicare enrollment 2
Practitioners 115
-
Kimberly C Bina, D.O.
-
Samantha Marie Boisen, ARNP
-
David Brennan, D.O.
-
Nancy Cambron, ARNP
-
Julie Carmody, MD
-
Hijinio G. Carreon, D.O.
-
Donald Conklin, M.D.
-
Ellie Conser, MD
-
Jennifer M Creekmur, MSN, FNP-C
-
Janelle Degeest, PA-C
-
Kallie Dekock, ARNP
-
Dustin David Derflinger, D.O.
-
Stephen Eckstat, DO
-
Matthew Ferguson, DO
-
Kate Ganger, NP
-
Ann Gonnerman, ARNP
-
Steven R Gorsch, MD
-
Gary Thomas Hemann, D.O.
-
Christina L Hendricks, ARNP
-
Bryce Adam Hoffman, M.D., M.A.
-
Karin Howe, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150505001794 | IA | Part B Supplier - Clinic/Group Practice | 0143549634 |
Receives reassigned benefits from 119 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Des Moines, IA; Newton, IA; West Des Moines, IA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
204 N 4TH Ave E
Newton, IA 50208-3135
Mailing address
PO Box 21197
Belfast, ME 04915-4108
Phone (770) 874-5400
Other providers in Newton, IA
- Cross Chiropractic LLC
- Matthew John Cross
- Charity Danielle Dangelser
- Meagan Kay Daye
- Spencer Derifield
- Denise Louise Doucette
- Maria Martha Katherine Doud
- Dr Gary D Parsons PC
- Dr. Kevin G. Parsons P.C.
- McKenna Ann Duff
All providers in Newton, IA · Emergency Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.