Healthcare Provider Details

I. General information

NPI: 1174933998
Provider Name (Legal Business Name): METRO GERIATRIC SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2014
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 50TH ST STE 100
WEST DES MOINES IA
50266-5924
US

IV. Provider business mailing address

1501 50TH ST STE 110
WEST DES MOINES IA
50266-5920
US

V. Phone/Fax

Practice location:
  • Phone: 515-225-7132
  • Fax: 515-218-1500
Mailing address:
  • Phone: 515-237-3974
  • Fax: 888-503-7693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number01911
License Number StateIA

VIII. Authorized Official

Name: ROBERT D. CONNER
Title or Position: SOLE MEMBER
Credential: D.O.
Phone: 515-225-7132