NPIMap

Organization Active NPI

Axial Clinic Ia PC

  • Internal Medicine Physician
  • Des Moines, IA
National Provider Identifier
1992559322
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AXIAL CLINIC IA PC
Practice address
501 SW 7TH St Ste a
Des Moines, IA 50309-4538
Phone
(515) 304-5505
NPI assigned
Apr 12, 2024
Organization subpart
Yes
Parent organization
AXIAL CLINIC IA PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
Alice Heywood
Title
Chief Legal Officier
Phone
(615) 231-8560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

501 SW 7TH St Ste a
Des Moines, IA 50309-4538

Mailing address

209 10TH Ave S Ste 350
Nashville, TN 37203-4166
Phone (615) 345-3555

National Provider Directory

National Provider Directory
Tax ID family
Axial Clinic Ia PC2 organizations share this tax ID, including this one
Part of
Axial Clinic Ia PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1992559322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 10TH AVE S STE 350",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372034166",
            "telephone_number": "615-345-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SW 7TH ST STE A",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503094538",
            "telephone_number": "515-304-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIAL CLINIC IA PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AXIAL CLINIC IA PC",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "HEYWOOD",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "CHIEF LEGAL OFFICIER",
        "authorized_official_telephone_number": "615-231-8560"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 12, 2024; 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.