Active NPI
Sara Colette Glover, PA-C
- Physician Assistant
- West Des Moines, IA
National Provider Identifier
1760760201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 002205
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002205 | IA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knoxville Community Hospital Inc | Current | 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
- 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.
-
- Emergency Medicine Physician
- Knoxville, IA
- NPI 1770591661
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Critical Access Hospital
- Boone, IA
- NPI 1467434225
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
-
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1568916237
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.