Active NPI
John W Karabias
- Physician Assistant
- Ankeny, IA
National Provider Identifier
1336219344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 094487
- Practice address
- 1410 SW Tradition Dr Ste 110
Ankeny, IA 50023 - Phone
- (515) 875-9696
- NPI assigned
- Nov 8, 2006
- Last updated
- Jun 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10000695 | WA | |
| Physician Assistant | 363A00000X | 094487 | IA | Primary |
Addresses
Primary practice location
1410 SW Tradition Dr Ste 110
Ankeny, IA 50023
Mailing address
7147 Vista Dr Ste 150
West Des Moines, IA 50266-9317
Phone (515) 875-9925
Other practice location 1
4420 76th St NE
Marysville, WA 98270-3726
Phone (360) 651-7490
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0240600 | Other | WA | L&I REGULAR |
| 8948796 | Other | WA | L&I CRIME VICTIMS |
| 8389017 | Medicaid | WA |
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
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1336219344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7147 VISTA DR STE 150",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502669317",
"telephone_number": "515-875-9925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 SW TRADITION DR STE 110",
"city": "ANKENY",
"state": "IA",
"postal_code": "50023",
"telephone_number": "515-875-9696"
}
],
"practiceLocations": [
{
"address_1": "4420 76th St NE",
"address_purpose": "LOCATION",
"city": "Marysville",
"state": "WA",
"postal_code": "982703726",
"country_code": "US",
"telephone_number": "360-651-7490",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KARABIAS",
"first_name": "JOHN",
"middle_name": "W",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10000695",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "094487",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I REGULAR",
"identifier": "0240600",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I CRIME VICTIMS",
"identifier": "8948796",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8389017",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.