Individual provider Active NPI

Steven Franklin Limoges, P.A.C.

  • Physician Assistant
  • Des Moines, IA
National Provider Identifier
1912197070
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001819 Issued in IA
Practice address
2540 E Euclid Ave
Des Moines, IA 50317-6046
Phone
(402) 325-6792
NPI assigned
Jul 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001819 IA Primary
Medical Physician Assistant 363AM0700X 001819 IA

Addresses

Primary practice location

2540 E Euclid Ave
Des Moines, IA 50317-6046

Mailing address

812 19TH St
Sioux City, IA 51105-1050
Phone (712) 258-2838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20130805000324 ID Order and Referring Only - Physician Assistant 5395987341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1912197070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 19TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051050",
            "telephone_number": "712-258-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 E EUCLID AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503176046",
            "telephone_number": "402-325-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMOGES",
        "first_name": "STEVEN",
        "middle_name": "FRANKLIN",
        "name_prefix": "Mr.",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001819",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "001819",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.