MEDICARE: ORTHOPAEDIC AND SPORTS SURGERY CENTER PC

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	207X00000X	Orthopaedic Surgery Physician	32804	IA

General Provider Information

NPI Number	:	1265577019
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOPAEDIC AND SPORTS SURGERY CENTER PC

Provider Business Mailing Address
First Line	:	1601 NW 114TH ST
Second Line	:	SUITE 142
City	:	DES MOINES
State	:	IA
Zip	:	50325-7007
Country	:	US
Telephone Number	:	515-226-2550
Fax Number	:	515-226-2561

Provider Business Practice Location Address
First Line	:	1601 NW 114TH ST
Second Line	:	SUITE 142
City	:	DES MOINES
State	:	IA
Zip	:	50325-7007
Country	:	US
Telephone Number	:	515-226-2550
Fax Number	:	515-226-2561

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RAVINDRA P JOSHI
Credential	:	M.D.
Telephone Number	:	515-226-2550

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1487630489 — DR. JASON B WITTMER MD
Practice Location Address:

1601 NW 114TH ST , SUITE 347
DES MOINES, IA
50325-7007

Practice Phone: 515-224-1777
Practice Fax: 515-222-0226

1205945326 — NUHA SHASH-BARAZANJI MD
Practice Location Address:

1601 NW 114TH ST , SUITE 345
DES MOINES, IA
50325-7007

Practice Phone: 515-222-7337
Practice Fax: 515-222-7340

1053490268 — DANIEL J. YOO M.D.
Practice Location Address:

1601 NW 114TH ST , SUITE 142
DES MOINES, IA
50325-7007

Practice Phone: 515-222-3151
Practice Fax: 515-226-2561

1427105105 — DR. DANIEL JOHN BARTH D.O.
Practice Location Address:

1601 NW 114TH ST , SUITE 347
DES MOINES, IA
50325-7007

Practice Phone: 515-224-1777
Practice Fax: 515-225-6750

1922219047 — WILLIAM C. JACOBSON MD PC
Practice Location Address:

1601 NW 114TH ST , SUITE 142
DES MOINES, IA
50325-7007

Practice Phone: 515-440-2676
Practice Fax: 515-440-2676

1548461189 — CENTRAL IOWA ORTHOPAEDICS GROUP LLP
Practice Location Address:

1601 NW 114TH ST , SUITE 142
DES MOINES, IA
50325-7007

Practice Phone: 515-222-3151
Practice Fax: 515-226-2561

Directions to “ORTHOPAEDIC AND SPORTS SURGERY CENTER PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.