Active NPI
Trauma Physicians Services, P.C.
- Trauma Surgery Physician
- Des Moines, IA
National Provider Identifier
1225196009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- Legal business name
- TRAUMA PHYSICIANS SERVICES, P.C.
- Practice address
- 315 University Ave
Des Moines, IA 50314-3126 - Phone
- (515) 244-9950
- NPI assigned
- Dec 5, 2006
- Last updated
- Jun 10, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Willie McClairen Jr.
- Title
- President & Ceo
- Phone
- (515) 244-9950
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Trauma Surgery Physician | 2086S0127X | IA | Primary |
Addresses
Primary practice location
315 University Ave
Des Moines, IA 50314-3126
Mailing address
315 University Ave
Des Moines, IA 50314-3126
Phone (515) 244-9950
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0170332 | Medicaid | IA | |
| 44182 | Other | IA | WELLMARK OF IOWA |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Surgery Physician
- Des Moines, IA
- NPI 1588768857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433894400000",
"number": "1225196009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 UNIVERSITY AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503143126",
"telephone_number": "515-244-9950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 UNIVERSITY AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503143126",
"telephone_number": "515-244-9950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRAUMA PHYSICIANS SERVICES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2015-06-10",
"status": "A",
"authorized_official_last_name": "MCCLAIREN",
"authorized_official_first_name": "WILLIE",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "515-244-9950",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "2086S0127X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Trauma Surgery",
"state": "IA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0170332",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK OF IOWA",
"identifier": "44182",
"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 Jun 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.