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Contact Information

TEAMMD PHYSICIANS PC
2213 GRAND AVE
DES MOINES, IA50312-5305
 Phone: 515-237-3974
 Fax: 515-883-2692
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Case Manager/Care Coordinator

171M00000X
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TEAMMD PHYSICIANS PC

NPI # 1457304446
LBN Legal business name TEAMMD PHYSICIANS PC
Authorized official RAYMOND KELLER - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/18/2006
Last updated 09/26/2019 - About 7 years ago
Identifiers
IA Medicaid 0255620
IA Other CJ7349 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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