NPIMap

Organization Active NPI

Central Iowa Hospital Corporation

Doing business as Highland Park Family Physicians

  • Family Medicine Physician
  • Des Moines, IA
National Provider Identifier
1225089931
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CENTRAL IOWA HOSPITAL CORPORATION
Doing business as
Highland Park Family Physicians
Practice address
1530 E Euclid Ave
Des Moines, IA 50313-4726
Phone
(515) 262-0404
Fax
(515) 262-0489
NPI assigned
May 15, 2006
Last updated
May 22, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRAL IOWA HOSPITAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Mr. Joseph F. Corfits Jr.
Title
Cfo
Phone
(515) 241-6507

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1530 E Euclid Ave
Des Moines, IA 50313-4726

Mailing address

5409 NW 88TH St
Suite 200
Johnston, IA 50131-2949
Phone (515) 362-5980

Other identifiers 2

IdentifierTypeStateIssuer
0262071MedicaidIA
CH4291OtherIARAILROAD MEDICARE GROUP

Other names 1

  • Highland Park Family Physicians Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040128001102 IA Part B Supplier - Clinic/Group Practice 1052229275 Receives reassigned benefits from 561 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 20

National Provider Directory

National Provider Directory
Part of
Karen Bartlett DO

Locations

1200 Pleasant St
#126
Des Moines, IA 50309

1600 60th St
West Des Moines, IA 50266
Phone (515) 224-5232

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1225089931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 NW 88TH ST",
            "address_2": "SUITE 200",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312949",
            "telephone_number": "515-362-5980",
            "fax_number": "515-362-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 E EUCLID AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503134726",
            "telephone_number": "515-262-0404",
            "fax_number": "515-262-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL IOWA HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL IOWA HOSPITAL CORPORATION",
        "enumeration_date": "2006-05-15",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "CORFITS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "515-241-6507",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0262071",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CH4291",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Park Family Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.