Healthcare Provider Details

I. General information

NPI: 1982860185
Provider Name (Legal Business Name): CATHERINE DIANE DEGEETER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2008
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 PLEASANT ST
DES MOINES IA
50309-1416
US

IV. Provider business mailing address

1215 PLEASANT ST
DES MOINES IA
50309-1416
US

V. Phone/Fax

Practice location:
  • Phone: 515-241-6542
  • Fax:
Mailing address:
  • Phone: 515-241-6542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number125-052547
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License Number40968
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: