Chester Arthur Pelsang III, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

00490 Issued in IA

Practice address

2751 Northgate Dr
Iowa City, IA 52245-9509

Phone

(319) 338-3606

Fax

(319) 338-0522

NPI assigned

May 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Iowa Foot & Ankle Center, PC

  • Podiatrist
  • Iowa City, IA
  • NPI 1275661795
  NPD (past) Authorized official
• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1689623316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 NORTHGATE DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522459509",
            "telephone_number": "319-338-3606",
            "fax_number": "319-338-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 NORTHGATE DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522459509",
            "telephone_number": "319-338-3606",
            "fax_number": "319-338-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELSANG",
        "first_name": "CHESTER",
        "middle_name": "ARTHUR",
        "name_suffix": "III",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IA",
            "license": "00490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "1942276621",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689623316",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "I7556003",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Dawn Pederson
• Pediatric Associates of Iowa City and Coralville, LLP
• Iris Peimann
• Donna Marie Peitz, RD
• Daniel Pelletier, M.D.
• Kelly Elizabeth Pelzel, PH.D.
• Lindy Pelzer, ARNP
• Judith Constanza Pena Quevedo, ARNP
• Tahuanty Anibal Pena, MD, MS
• Linda Peng

• Podiatrist in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Podiatrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.