Healthcare Provider Details

I. General information

NPI: 1437070679
Provider Name (Legal Business Name): CENTRAL IOWA RADIATION THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12495 UNIVERSITY AVE STE 150
CLIVE IA
50325-8290
US

IV. Provider business mailing address

7147 VISTA DR STE 150
WEST DES MOINES IA
50266-9317
US

V. Phone/Fax

Practice location:
  • Phone: 515-875-9580
  • Fax: 515-875-9581
Mailing address:
  • Phone: 515-875-9255
  • Fax: 515-875-9223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: ERIC A BARP
Title or Position: AUTHORIZED OFFICIAL
Credential: DPM
Phone: 515-875-9876