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Contact Information

PEDIATRICS AND ADOLESCENT MEDICINE, P.C.
2940 INGERSOLL AVENUE
DES MOINES, IA50312-4015
 Phone: 515-244-1444
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
 

Developmental - Behavioral Pediatrics

2080P0006X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRICS AND ADOLESCENT MEDICINE PC · (Female)

NPI Number 1134259427
Status Active
Credentials
Entity Individual
Enumeration date 03/06/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • IA License # 00062
  • IA License # 20027
Hospital affiliation(s) Not Available
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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