Healthcare Provider Details

I. General information

NPI: 1114378676
Provider Name (Legal Business Name): AARON WASSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2016
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 PLEASANT ST STE 150
DES MOINES IA
50309-1417
US

IV. Provider business mailing address

1221 PLEASANT ST STE 150
DES MOINES IA
50309-1417
US

V. Phone/Fax

Practice location:
  • Phone: 515-241-6886
  • Fax: 515-241-4057
Mailing address:
  • Phone: 515-241-6886
  • Fax: 515-241-4057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberR10711
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number72111
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberDR.0062147
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: