City Family Clinic PLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CITY FAMILY CLINIC PLC

Practice address

6401 Douglas Ave
Suite 10
Des Moines, IA 50322-3350

Phone

(515) 276-8800

Fax

(515) 276-8810

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Jason Chinwe Nkem Ekwena, M.D.NPI 1396798450

Title

President and Ceo

Phone

(515) 276-8800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

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 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.

• Jason Chinwe Nkem Ekwena, M.D.

  • Family Medicine Physician
  • Des Moines, IA
  • NPI 1396798450
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1669425625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 DOUGLAS AVE",
            "address_2": "SUITE 10",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503223350",
            "telephone_number": "515-276-8800",
            "fax_number": "515-276-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 DOUGLAS AVE",
            "address_2": "SUITE 10",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503223350",
            "telephone_number": "515-276-8800",
            "fax_number": "515-276-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY FAMILY CLINIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "EKWENA",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "CHINWE NKEM",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "515-276-8800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0443960",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cia Carolyn in Action, LLC
• Robert Cihak, MD
• Robin Gaye Cikanek, LMHC
• Cindy Coenen LLC
• Bethany Citerella, MD
• City of Des Moines Iowa
• Isaac John Clair, DDS
• Cyanna Claiser, LMSW
• Claremont's Ramsey Village LLC
• Arcintina Marie Clark, LMSW

• Family Medicine Physician in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.