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The Iowa Clinic Endoscopy Center LLC

Organization Active NPI Endoscopy Clinic/Center · West Des Moines, IA

NPI 1700879467 · NPPES record last updated Dec 20, 2023

Key facts

NPI
1700879467
Entity type
Organization (NPI type 2)
Primary specialty
Endoscopy Clinic/Center 261QE0800X
Legal business name
THE IOWA CLINIC ENDOSCOPY CENTER LLC
Practice address
5950 University Ave
Ste 180
West Des Moines, IA 50266
Phone
(515) 875-9145
Fax
(515) 875-9146
NPI assigned
Aug 29, 2005
Organization subpart
No

Authorized official

Name
Eric A Barp, DPM
Title
Board Chair
Phone
(515) 875-9100

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare Care Compare: Ambulatory surgical center

Listed as
The Iowa Clinic Endoscopy Center CCN 16C0001015
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20080904000744 IA Part B Supplier - Ambulatory Surgical Center 1951477538 Practice locations: West Des Moines, IA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X Yes

Addresses

Primary practice location

5950 University Ave
Ste 180
West Des Moines, IA 50266

Mailing address

PO Box 404
Des Moines, IA 50302-0404
Phone (515) 875-9924

Other names

  • The Iowa Clinic Surgery and Endoscopy Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 20, 2023.

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1700879467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 404",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503020404",
            "telephone_number": "515-875-9924",
            "fax_number": "515-875-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 UNIVERSITY AVE",
            "address_2": "STE 180",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "50266",
            "telephone_number": "515-875-9145",
            "fax_number": "515-875-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE IOWA CLINIC ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-29",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "BARP",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BOARD CHAIR",
        "authorized_official_telephone_number": "515-875-9100",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Iowa Clinic Surgery and Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Des Moines, IA

All providers in West Des Moines, IA · Endoscopy Clinic/Center in Iowa

Sources for this page

Verify at the official NPI Registry.