Healthcare Provider Details

I. General information

NPI: 1730390410
Provider Name (Legal Business Name): ROBERT D SHONTZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 JORDAN CREEK PKWY STE 180
WEST DES MOINES IA
50266-2346
US

IV. Provider business mailing address

1225 JORDAN CREEK PKWY STE 180
WEST DES MOINES IA
50266-2346
US

V. Phone/Fax

Practice location:
  • Phone: 515-283-0463
  • Fax: 515-283-0794
Mailing address:
  • Phone: 515-283-0463
  • Fax: 515-283-0794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberMD-38259
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD-38259
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberR7280
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: