Organization Active NPI

Aunt Minnie, Inc.

  • Body Imaging Physician
  • Des Moines, IA
National Provider Identifier
1861525396
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
3529 Issued in IA
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1861525396MedicaidIA
NPI 1477512002OtherIADR.ROBERT V.FILIPPONE,JR.
DF7788OtherIARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.