Individual provider Active NPI

Jeffrey S Carithers, MD

  • Facial Plastic Surgery Physician
  • Des Moines, IA
National Provider Identifier
1295732931
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
23944 Issued in IA
Practice address
535 40TH St
Des Moines, IA 50312-3503
Phone
(515) 277-5555
Fax
(515) 277-0060
NPI assigned
Jul 7, 2005
Last updated
Aug 23, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X 23944 IA Primary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 23944 IA
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X 23944 IA

Addresses

Primary practice location

535 40TH St
Des Moines, IA 50312-3503

Mailing address

535 40TH St
Des Moines, IA 50312-3503
Phone (515) 277-5555

Other identifiers 1

IdentifierTypeStateIssuer
0244368MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23944IAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Koch Facial Plastic Surgery PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187827200000",
    "number": "1295732931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 40TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503123503",
            "telephone_number": "515-277-5555",
            "fax_number": "515-277-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 40TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503123503",
            "telephone_number": "515-277-5555",
            "fax_number": "515-277-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARITHERS",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2007-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "IA",
            "license": "23944",
            "primary": true
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "IA",
            "license": "23944",
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "IA",
            "license": "23944",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0244368",
            "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 Aug 23, 2007; 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.