MEDICARE: FISHOMEN P.C.

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	1223G0001X	General Practice Dentistry	07198	IA

General Provider Information

NPI Number	:	1700053006
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FISHOMEN P.C.

Provider Business Mailing Address
First Line	:	4100 UNIVERSITY AVE
Second Line	:	#105
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-5956
Country	:	US
Telephone Number	:	515-223-8800
Fax Number	:	515-223-1437

Provider Business Practice Location Address
First Line	:	4100 UNIVERSITY AVE
Second Line	:	#105
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-5956
Country	:	US
Telephone Number	:	515-223-8800
Fax Number	:	515-223-1437

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PHELAN RICO THOMAS
Credential	:	DDS
Telephone Number	:	515-223-8800

Provider Enumeration Date	:	05/15/2008
Last Update Date	:	05/15/2008

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1144393034 — DR. PHELAN RICO THOMAS DDS
Practice Location Address:

4100 UNIVERSITY AVE , SUITE 105
WEST DES MOINES, IA
50266-5956

Practice Phone: 515-223-8800
Practice Fax: 515-223-1437

1538308523 — EYEMART EXPRESS, LTD.
Practice Location Address:

4100 UNIVERSITY AVE , SUITE 106
WEST DES MOINES, IA
50266-5956

Practice Phone: 515-327-6001
Practice Fax: 515-327-6134

1326277138 — LISA LANSINK O.D.
Practice Location Address:

4100 UNIVERSITY AVE , #106
WEST DES MOINES, IA
50266-5956

Practice Phone: 515-224-1317
Practice Fax: 515-224-6069

1063866218 — ATTENTIVE ANGELS HOME CARE
Practice Location Address:

1710 SUNSET BLVD STE B
WEST COLUMBIA, SC
29169-5956

Practice Phone: 803-888-7857
Practice Fax:

1003034299 — SCOTT DINSMOOR
Practice Location Address:

8285 SANTA MONICA BLVD
WEST HOLLYWOOD, CA
90046-5956

Practice Phone: 323-377-9142
Practice Fax:

Directions to “FISHOMEN P.C. ” 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 © 2007-2025 (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.