MEDICARE: DR. DANIEL H GERVICH MD

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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	20448	IA
2	207RI0200X	Infectious Disease Physician	20448	IA
3	2083P0011X	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	20448	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	23898	OTHER	IA	MIDLAND'S CHOICE
2	IA0103	OTHER	IA	UHC OF THE RIVER VALLEY
3	15380	OTHER	IA	WELLMARK
4	849863	OTHER	IA	UHC
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	72633	OTHER	IA	COVENTRY

General Provider Information

NPI Number	:	1316923311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL H GERVICH MD

Provider Business Mailing Address
First Line	:	1601 NW 114TH ST
Second Line	:	STE 347
City	:	DES MOINES
State	:	IA
Zip	:	50325
Country	:	US
Telephone Number	:	515-224-1777
Fax Number	:	515-222-0226

Provider Business Practice Location Address
First Line	:	1601 NW 114TH ST
Second Line	:	STE 347
City	:	DES MOINES
State	:	IA
Zip	:	50325
Country	:	US
Telephone Number	:	515-224-1777
Fax Number	:	515-222-0226

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

Provider Enumeration Date	:	12/21/2005
Last Update Date	:	09/11/2025

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Directions to “ DR. DANIEL H GERVICH MD” Practice Location

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