Iowa Vein Center, Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

IOWA VEIN CENTER, INC.

Practice address

2425 Westown Pkwy
Suite 100
West Des Moines, IA 50266-1425

Phone

(515) 222-8346

Fax

(515) 222-0472

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jose A. Olivencia, M.D.

Title

Medical Director

Phone

(515) 222-8346

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649394842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 WESTOWN PKWY",
            "address_2": "SUITE 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661425",
            "telephone_number": "515-222-8346",
            "fax_number": "515-222-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 WESTOWN PKWY",
            "address_2": "SUITE 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661425",
            "telephone_number": "515-222-8346",
            "fax_number": "515-222-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA VEIN CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLIVENCIA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "515-222-8346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CS6841",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "22927",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iowa Retina Consultants, PC
• Iowa Sleep Disorders Center, P.C.
• Iowa Specialty Surgeons LLP
• Iowa Surgery Center, P.C.
• Iowa Therapy Solutions, PLLC
• Makayla Elisabeth Ippach
• Nicole Iribarren, DDS
• Simon Irungu
• Rebecca Irvine
• Kristen Laura Isaac, OTR/L

• Surgery Physician in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.