Active NPI
Aunt Minnie, Inc.
- Body Imaging Physician
- Des Moines, IA
National Provider Identifier
1861525396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- License
- 3529
- Legal business name
- AUNT MINNIE, INC.
- Practice address
- 2124 Grand Ave
Des Moines, IA 50312-5304 - Phone
- (515) 288-0206
- Fax
- (714) 475-0417
- NPI assigned
- Mar 13, 2007
- Last updated
- Feb 11, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Vincent Filippone Jr., DO
- Title
- Radiologist
- Phone
- (515) 288-0206
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 3529 | IA | Primary |
| Neuroradiology Physician | 2085N0700X | 3529 | IA | |
| Nuclear Radiology Physician | 2085N0904X | 3529 | IA | |
| Pediatric Radiology Physician | 2085P0229X | 3529 | IA | |
| Diagnostic Radiology Physician | 2085R0202X | 3529 | IA | |
| Therapeutic Radiology Physician | 2085R0203X | 3529 | IA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 3529 | IA | |
| Radiological Physics Physician | 2085R0205X | 3529 | IA | |
| Diagnostic Ultrasound Physician | 2085U0001X | 3529 | IA |
Addresses
Primary practice location
2124 Grand Ave
Des Moines, IA 50312-5304
Mailing address
2213 Grand Ave
Des Moines, IA 50312-5305
Phone (515) 237-3974
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861525396 | Medicaid | IA | |
| NPI 1477512002 | Other | IA | DR.ROBERT V.FILIPPONE,JR. |
| DF7788 | Other | IA | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
1700 W Townline St
Ste 3
Creston, IA 50801
Phone (515) 432-3140
2124 Grand Ave
Des Moines, IA 50312
Phone (515) 288-0206
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Des Moines, IA
- NPI 1780700641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392076800000",
"number": "1861525396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2213 GRAND AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503125305",
"telephone_number": "515-237-3974",
"fax_number": "515-883-2692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2124 GRAND AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503125304",
"telephone_number": "515-288-0206",
"fax_number": "714-475-0417"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUNT MINNIE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-13",
"last_updated": "2014-02-11",
"status": "A",
"authorized_official_last_name": "FILIPPONE",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "VINCENT",
"authorized_official_title_or_position": "RADIOLOGIST",
"authorized_official_telephone_number": "515-288-0206",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "IA",
"license": "3529",
"primary": true
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "IA",
"license": "3529",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "IA",
"license": "3529",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "IA",
"license": "3529",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IA",
"license": "3529",
"primary": false
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "IA",
"license": "3529",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "IA",
"license": "3529",
"primary": false
},
{
"code": "2085R0205X",
"taxonomy_group": "",
"desc": "Radiology, Radiological Physics",
"state": "IA",
"license": "3529",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "IA",
"license": "3529",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861525396",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR.ROBERT V.FILIPPONE,JR.",
"identifier": "NPI 1477512002",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DF7788",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
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 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.