Central Iowa Surgery PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

02791 Issued in IA

Legal business name

CENTRAL IOWA SURGERY PC

Practice address

1301 Penn Ave
Suite 304
Des Moines, IA 50316-2365

Phone

(515) 265-1300

Fax

(515) 265-2001

NPI assigned

Feb 9, 2006

Organization subpart

No

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

Authorized official

Name

Steven I Goldstein, DO

Title

President

Phone

(515) 265-1300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Capitol Hill Surgery PC Former legal business name

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24843/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1528031689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PENN AVE",
            "address_2": "304",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503162365",
            "telephone_number": "515-265-1300",
            "fax_number": "515-265-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PENN AVE",
            "address_2": "SUITE 304",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503162365",
            "telephone_number": "515-265-1300",
            "fax_number": "515-265-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL IOWA SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-265-1300",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IA",
            "license": "02791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0420265",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capitol Hill Surgery PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Central Iowa Hospital Corporation
• Central Iowa Hospital Corporation
• Central Iowa Mental Health Organization
• Central Iowa Neurology, PC
• Central Iowa Orthopaedics Group LLP
• Central Iowa Trauma and Recovery Center
• Centric,P.C.
• Cep America - Anesthesia PC
• Meliha Cerimovic, LMSW
• Certintell, Inc.

• All providers in Des Moines, IA
• Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.