Kenneth J. Monsma, MD
Individual provider Active NPI General Practice Physician · Bussey, IA
NPI 1477521938 · NPPES record last updated Oct 15, 2007
Key facts
- NPI
- 1477521938
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 16953 (IA)
- Practice address
- 411 Merrill Street
Bussey, IA 50044 - Phone
- (641) 944-5813
- Fax
- (641) 944-5258
- NPI assigned
- Mar 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16953 | IA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pella Regional Health Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 16953 | IA | Yes |
Addresses
Primary practice location
411 Merrill Street
Bussey, IA 50044
Mailing address
405 Monroe St
Pella, IA 50219-1189
Phone (641) 628-3832
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2032508 | Medicaid | IA | |
| 2032508 | Other | IA | RAILROAD MEDICARE |
Other providers in Bussey, IA
All providers in Bussey, IA · General Practice Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.