Iowa Endoscopy Center, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

IOWA ENDOSCOPY CENTER, INC.

Practice address

1378 NW 124TH St
Suite 100
Clive, IA 50325-8151

Phone

(515) 226-8180

NPI assigned

Sep 29, 2006

Last updated

Sep 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jean A. Shelton

Title

Ceo

Phone

(515) 288-6097

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Listed as

Iowa Endoscopy CenterCCN 16C0001006

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bernard Ira Leman, MD

  • Gastroenterology Physician
  • Clive, IA
  • NPI 1972560597
  Medicare reassignment NPD
• Michael D Obrien, MD

  • Gastroenterology Physician
  • Clive, IA
  • NPI 1295793420
  Medicare reassignment NPD
• Ravi Prasad Sai Vemulapalli, MD

  • Gastroenterology Physician
  • Clive, IA
  • NPI 1992763122
  Medicare reassignment NPD
• Karen Kay Luken, NP

  • Nurse Practitioner
  • Clive, IA
  • NPI 1942469960
  NPD
• Melissa Marie Halverson, DNP, NP-C

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1558887174
  NPD
• Amol Agarwal, MD

  • Gastroenterology Physician
  • Clive, IA
  • NPI 1043604473
  NPD (past)
• Emily Ann Dermody, ARNP

  • Nurse Practitioner
  • Clive, IA
  • NPI 1790610590
  NPD (past)
• Rajalakshmi V Iyer, MD

  • Gastroenterology Physician
  • Clive, IA
  • NPI 1699745760
  NPD (past)
• Tercio Lopes, MD

  • Gastroenterology Physician
  • Clive, IA
  • NPI 1336352772
  NPD (past)
• Thomas Lyle Martin, DO

  • Gastroenterology Physician
  • Clive, IA
  • NPI 1417908922
  NPD (past)
• Lori L Mathis, ARNP

  • Nurse Practitioner
  • Clive, IA
  • NPI 1346545233
  NPD (past)
• Michael Joseph Page, M.D.

  • Colon & Rectal Surgery Physician
  • Des Moines, IA
  • NPI 1295721223
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1609968478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1378 NW 124TH ST",
            "address_2": "SUITE 100",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258151",
            "telephone_number": "515-226-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1378 NW 124TH ST",
            "address_2": "SUITE 100",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258151",
            "telephone_number": "515-226-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA ENDOSCOPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "515-288-6097",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iowa Acupuncture Clinic
• Iowa Diagnostic Imaging & Procedure Center, L C (Iowa Radiology, P.C.)
• Iowa Digestive Disease Center P.C. (Iowa Digestive Disease Center)
• Iowa Ear Center
• Iowa Ear Technology
• Iowa Family Assistants
• Iowa Hearing Associates LLC (Miracle Ear)
• Iowa Nursing and Rehabilitation
• Iowa Radiology, P C
• Iowa Spine and Disc Center

• Ambulatory Surgical Clinic/Center in Clive, IA
• Providers in Clive, IA by specialty
• Ambulatory Surgical Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.