Philip Bakody, D.O.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

01527 Issued in IA

Practice address

615 Park St
Suite 1207
Des Moines, IA 50309-1601

Phone

(515) 720-3004

Fax

(515) 243-2352

NPI assigned

Oct 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

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.

• Arizona Diagnostic & Surgical Center, Inc

  • Ambulatory Surgical Clinic/Center
  • Mesa, AZ
  • NPI 1073561049
  NPD (past)
• Radcare of Tennessee PC

  • Diagnostic Radiology Physician
  • Chattanooga, TN
  • NPI 1538186226
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1952483554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 PARK ST",
            "address_2": "SUITE 1207",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091601",
            "telephone_number": "515-720-3004",
            "fax_number": "515-243-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PARK ST",
            "address_2": "SUITE 1207",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091601",
            "telephone_number": "515-720-3004",
            "fax_number": "515-243-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKODY",
        "first_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "01527",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "02737",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Paul Baker, D.D.S.
• Larry J Baker, D.O.
• Stephanie Baker, RN, RNFA
• Taylor Rae Baker, PHARMD
• Caitlin H Bakke, DO 3RD YEAR DO
• Michael Matthews Baldwin, MD
• Diane Kay Bales, L.M.H.C.
• Erika Youngquist Bales, APRN
• Nicole Bales, ACNPC-AG
• Aaron James Ballantyne, M.D.

• Diagnostic Radiology Physician in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Diagnostic Radiology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.