NPIMap

Organization Active NPI

Ronnie Hawkins Family Practice Medical Clinic PLC

Doing business as Dr. Hawkins Office

  • Family Medicine Physician
  • West Des Moines, IA
National Provider Identifier
1629021118
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22705 Issued in IA
Legal business name
RONNIE HAWKINS FAMILY PRACTICE MEDICAL CLINIC PLC
Doing business as
Dr. Hawkins Office
Practice address
1701 22ND St
Suite 107
West Des Moines, IA 50266-1443
Phone
(515) 224-1001
Fax
(515) 224-1004
NPI assigned
May 18, 2006
Last updated
Apr 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Authorized official

Name
Majed Waleed Barazanji, M.D.NPI 1285687202
Title
Owner/Practitioner
Phone
(515) 440-6622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22705 IA Primary

Addresses

Primary practice location

1701 22ND St
Suite 107
West Des Moines, IA 50266-1443

Mailing address

1701 22ND St
Suite 107
West Des Moines, IA 50266-1443
Phone (515) 224-1001

Other identifiers 1

IdentifierTypeStateIssuer
0281865MedicaidIA

Other names 1

  • Dr. Hawkins Office Doing business as

National Provider Directory

National Provider Directory

Locations

1701 22nd St
Ste 105
West Des Moines, IA 50266
Phone (515) 223-5219

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1629021118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 22ND ST",
            "address_2": "SUITE 107",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661443",
            "telephone_number": "515-224-1001",
            "fax_number": "515-224-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 22ND ST",
            "address_2": "SUITE 107",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661443",
            "telephone_number": "515-224-1001",
            "fax_number": "515-224-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONNIE HAWKINS FAMILY PRACTICE MEDICAL CLINIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "BARAZANJI",
        "authorized_official_first_name": "MAJED",
        "authorized_official_middle_name": "WALEED",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "515-440-6622",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "22705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0281865",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Hawkins Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.