Seniorwell Pod of Iowa LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

SENIORWELL POD OF IOWA LLC

Practice address

699 Walnut St FL 4
Des Moines, IA 50309-3929

Phone

(844) 882-3127

NPI assigned

May 15, 2018

Organization subpart

No

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

Authorized official

Name

Kenneth King

Title

Owner

Phone

(844) 882-3127

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1245720267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E LAKE COOK RD STE 1000",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891999",
            "telephone_number": "844-882-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 WALNUT ST FL 4",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093929",
            "telephone_number": "844-882-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORWELL POD OF IOWA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "844-882-3127"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Selix, RN
• Douglas E Selover, DO
• Sally Lynn Selover, IADC
• Ashlea Semmens, MD
• Seniorwell of Iowa LLC
• Mangil Seo, M.D.
• Abigail Hayden Sepanic, ARNP
• Sohila Sepehri
• Preston Sereg, MD
• Anna C Serrano, MD

• Podiatrist in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Podiatrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.