Individual provider Active NPI

Sara Colette Glover, PA-C

  • Physician Assistant
  • West Des Moines, IA
National Provider Identifier
1760760201
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002205 Issued in IA
Practice address
6000 University Ave Ste 124
West Des Moines, IA 50266-8200
Phone
(515) 241-2020
Fax
(515) 241-2040
NPI assigned
Aug 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002205 IA Primary

Addresses

Primary practice location

6000 University Ave Ste 124
West Des Moines, IA 50266-8200

Mailing address

9146 Linden Dr
West Des Moines, IA 50266-1683

Other names 1

  • Sara Colette Sefcik Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111020000140 IA Practitioner - Physician Assistant 1759553571 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002205IAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Community Hospital Inc CurrentSince Oct 3, 2012 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Boone County Hospital Past Accepting new patients
Unitypoint Health-DM Past Accepting new patients
Iowa Physicians Clinic Medical Foundation Past Accepting new patients

Locations

1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464

Interoperability endpoints

  • Direct secure messaging: sglover257193@direct.unitypoint.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1760760201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9146 LINDEN DR",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 UNIVERSITY AVE STE 124",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668200",
            "telephone_number": "515-241-2020",
            "fax_number": "515-241-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "SARA",
        "middle_name": "COLETTE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "002205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "SEFCIK",
            "middle_name": "COLETTE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.