MEDICARE: DR. ANDRZEJ SZCZEPANEK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	37643	IA
2	208VP0000X	Pain Medicine Physician	MD-37643	IA
3	208VP0014X	Interventional Pain Medicine Physician	MD-37643	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134397565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDRZEJ SZCZEPANEK M.D.

Provider Business Mailing Address
First Line	:	2425 WESTOWN PKWY
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-1425
Country	:	US
Telephone Number	:	515-267-1819
Fax Number	:	515-457-9180

Provider Business Practice Location Address
First Line	:	2425 WESTOWN PKWY
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-1425
Country	:	US
Telephone Number	:	515-267-1819
Fax Number	:	515-457-9180

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2008
Last Update Date	:	10/18/2021

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Directions to “ DR. ANDRZEJ SZCZEPANEK M.D.” Practice Location

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