NPIMap

Organization Active NPI

Central Iowa Hospital Corporation

Doing business as Stoddard Cancer Physicians

  • Radiation Oncology Physician
  • Des Moines, IA
National Provider Identifier
1750569711
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
CENTRAL IOWA HOSPITAL CORPORATION
Doing business as
Stoddard Cancer Physicians
Practice address
1221 Pleasant St
Suite A100
Des Moines, IA 50309-1423
Phone
(515) 241-3394
Fax
(515) 241-8910
NPI assigned
Feb 1, 2008
Last updated
Feb 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Mr. Kevin Deronde, MBA, ACHE
Title
Outpatient Service Manager
Phone
(515) 241-3394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

1221 Pleasant St
Suite A100
Des Moines, IA 50309-1423

Mailing address

1221 Pleasant St
Suite A100
Des Moines, IA 50309-1423
Phone (515) 241-3394

Other names 1

  • Stoddard Cancer Physicians Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Karen Bartlett DO21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1750569711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 PLEASANT ST",
            "address_2": "SUITE A100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091423",
            "telephone_number": "515-241-3394",
            "fax_number": "515-241-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 PLEASANT ST",
            "address_2": "SUITE A100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091423",
            "telephone_number": "515-241-3394",
            "fax_number": "515-241-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL IOWA HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "DERONDE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OUTPATIENT SERVICE MANAGER",
        "authorized_official_telephone_number": "515-241-3394",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, ACHE"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stoddard Cancer Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.