Teammd Iowa, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TEAMMD IOWA, INC.

Practice address

6500 University Ave
Des Moines, IA 50324-1607

Phone

(952) 936-6125

NPI assigned

Nov 13, 2015

Organization subpart

Yes

Parent organization

TEAMMD HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Bror O Hultgren

Title

Ceo

Phone

(952) 936-6125

Specialties & licenses 5

Addresses

Locations

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1235503269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 UNIVERSITY AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503241607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 UNIVERSITY AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503241607",
            "telephone_number": "952-936-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAMMD IOWA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEAMMD HOLDINGS, INC.",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "HULTGREN",
        "authorized_official_first_name": "BROR",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-936-6125"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Ann Taylor, PA-C
• Samuel Clayton Taylor, MD
• Tanya Lee Taylor, REGISTERED NURSE
• Leanne Tchakounte, DPT
• Ruffin Tchakounte
• Teammd Physicians PC
• Cindy Teasdale, ARNP
• Tiffany Lisa Tedesco, RPH
• Angela Raye Tekippe, OD
• Desiree Ann Basmayor Teleron-Walhovd, MSN,FNP-C

• Internal Medicine Physician in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Internal Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.