Healthcare Provider Details

I. General information

NPI: 1023256708
Provider Name (Legal Business Name): DONALD WARREN POWERS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2009
Last Update Date: 10/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2538 EISENHOWER
AMES IA
50010
US

IV. Provider business mailing address

2538 EISENHOWER
AMES IA
50010
US

V. Phone/Fax

Practice location:
  • Phone: 515-232-0572
  • Fax:
Mailing address:
  • Phone: 515-232-0572
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number16396
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036.084486
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number16396
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: