NPIMap

Organization Active NPI

Medstaffpc

  • Family Medicine Physician
  • Des Moines, IA
National Provider Identifier
1336576701
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDSTAFFPC
Practice address
3839 Merle Hay Rd
Suite 120
Des Moines, IA 50310-1307
Phone
(515) 330-2832
Fax
(404) 494-7403
NPI assigned
Oct 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Authorized official

Name
Philip Kurtz
Title
Chief Executive Officer
Phone
(918) 779-7431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3839 Merle Hay Rd
Suite 120
Des Moines, IA 50310-1307

Mailing address

4500 S 129TH East Ave
Ste 191
Tulsa, OK 74134-5801
Phone (918) 779-7400

National Provider Directory

National Provider Directory
Tax ID family
Medstaffpc27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

3839 Merle Hay Rd
Ste 120
Des Moines, IA 50310
Phone (515) 330-2832

NPI Registry JSON

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1336576701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S 129TH EAST AVE",
            "address_2": "STE 191",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741345801",
            "telephone_number": "918-779-7400",
            "fax_number": "918-779-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 MERLE HAY RD",
            "address_2": "SUITE 120",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503101307",
            "telephone_number": "515-330-2832",
            "fax_number": "404-494-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAFFPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-01",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "KURTZ",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "918-779-7431"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 1, 2013; 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.