Dudley Alan Phipps, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

001491 Issued in IA

Practice address

450 Laurel St
Ste. a
Des Moines, IA 50314-3045

Phone

(515) 247-8400

Fax

(515) 248-8888

NPI assigned

Mar 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Iowa Orthopaedic Center, P.C.

  • Orthopaedic Surgery Physician
  • Des Moines, IA
  • NPI 1669579785
  Medicare reassignment
• Iowa Orthopaedic Center, P.C.

  • Orthopaedic Surgery Physician
  • Johnston, IA
  • NPI 1326637521

  Surgical

  NPD

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1306807714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 LAUREL ST",
            "address_2": "STE. A",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143045",
            "telephone_number": "515-247-8400",
            "fax_number": "515-248-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 LAUREL ST",
            "address_2": "STE. A",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143045",
            "telephone_number": "515-247-8400",
            "fax_number": "515-248-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "DUDLEY",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IA",
            "license": "001491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Teresa Phillips, APRN, FNP-C
• Lorilyn Diana Phillips, RN
• Sabrina Phillips, PHARMD
• Tamera J Phillips, PT
• James Philson, DO
• Iloria Victoria Phoenix Lopez, M.A.
• Phoenix of the Heartland
• Southone Sue Phrathany
• Physiotherapy Associates Inc
• Physiotherapy Associates Inc

• Surgical Physician Assistant in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Surgical Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.