NPIMap

Organization Active NPI

Delaware Family Medicine, PLC

  • Family Medicine Physician
  • Ankeny, IA
National Provider Identifier
1861406787
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DELAWARE FAMILY MEDICINE, PLC
Practice address
1605 SE Delaware Ave
Suite F
Ankeny, IA 50021-4594
Phone
(515) 964-5555
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Authorized official

Name
Ms. Jodee M Kasper
Title
Office Manager
Phone
(515) 964-5555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X

Addresses

Primary practice location

1605 SE Delaware Ave
Suite F
Ankeny, IA 50021-4594

Mailing address

1605 SE Delaware Ave
Suite F
Ankeny, IA 50021-4594
Phone (515) 964-5555

Other identifiers 1

IdentifierTypeStateIssuer
0227850MedicaidIA

National Provider Directory

National Provider Directory

Locations

1605 SE Delaware Ave
Ste F
Ankeny, IA 50021
Phone (515) 964-4847

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1861406787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 SE DELAWARE AVE",
            "address_2": "SUITE F",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500214594",
            "telephone_number": "515-964-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 SE DELAWARE AVE",
            "address_2": "SUITE F",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500214594",
            "telephone_number": "515-964-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE FAMILY MEDICINE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "KASPER",
        "authorized_official_first_name": "JODEE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "515-964-5555",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0227850",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.