Pediatric Neurology Divine Solutions PLLC

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

Legal business name

PEDIATRIC NEUROLOGY DIVINE SOLUTIONS PLLC

Practice address

974 73Rd St Ste 25
West Des Moines, IA 50265-1026

Phone

(515) 724-7637

NPI assigned

Mar 10, 2020

Organization subpart

No

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

Authorized official

Name

Stephen T. H. Gutu, MDNPI 1528212594

Title

MD/Owner

Phone

(515) 724-7637

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen T. H. Gutu, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • West Des Moines, IA
  • NPI 1528212594
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1508491531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 73RD ST STE 25",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502651026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 73RD ST STE 25",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502651026",
            "telephone_number": "515-724-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC NEUROLOGY DIVINE SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "GUTU",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "T. H.",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "515-724-7637",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Pearson
• Jennifer L Pedersen-Coulter, LMHC
• Krista Pederson, CADC
• Zachariah Stanley Pederson, D.O.
• Pediatric Dentistry of Central Iowa PLLC
• Janet Pedroza Ramos, LCSW
• Richard J Peirce, MD
• Althea M Pellack, PT
• Hayden Pelletier, CCC-SLP
• Daniel Edward Pelzer, MD

• Neurology with Special Qualifications in Child Neurology Physician in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.