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Contact Information

PITAYADET JUMRUSSIRIKUL, MD
5880 UNIVERSITY AVE STE 112
WEST DES MOINES, IA50266-8209
 Phone: 515-633-3653
 Fax: 515-280-4630
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PITAYADET JUMRUSSIRIKUL · (Male)

NPI Number 1689656605
Status Active
Credentials MD
Entity Individual
Enumeration date 11/16/2005
Last updated 06/14/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 36245
  • IA Medicaid 0463471
  • IA Other P00261211 RAILROAD MEDICARE
  • IA Other CD4547 RR GROUP NUMBER
  • IA Other P00261211 RR MEDICARE NUMBER
Hospital affiliation(s)
  • DALLAS COUNTY HOSPITAL - (Critical Access)
    610 TENTH STREET
    PERRY, IA 50220
  • GRINNELL REGIONAL MEDICAL CENTER - (Acute Care)
    210 FOURTH AVENUE
    GRINNELL, IA 50112
  • MADISON COUNTY MEMORIAL HOSPITAL - (Critical Access)
    300 WEST HUTCHINGS STREET
    WINTERSET, IA 50273
  • MERCY MEDICAL CENTER-DES MOINES - (Acute Care)
    1111 6TH AVE
    DES MOINES, IA 50314
  • SKIFF MEDICAL CENTER - (Acute Care)
    204 NORTH 4TH AVENUE EAST
    NEWTON, IA 50208
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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