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NPI 1255405221

NPI 1255405221 : DES MOINES ORTHOPAEDIC SURGEONS PC : WEST DES MOINES, IA

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General NPI Number Information
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    NPI Number           |    1255405221
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    Entity Type          |    Organization 
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    Legal Business Name  |    DES MOINES ORTHOPAEDIC SURGEONS PC 
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Dates
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    Enumeration Date     |    11/20/2006
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    Last Update Date     |    06/19/2024
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Provider Practice Location Address
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    Address Line         |    6001 WESTOWN PKWY 
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    City                 |    WEST DES MOINES
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    State                |    IA
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    Zip                  |    50266-7719
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    Country              |    US
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    Telephone            |    515-224-1414
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    Fax                  |    515-224-5140
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Provider Business Mailing Address
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    Address Line         |    6001 WESTOWN PKWY 
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    City                 |    WEST DES MOINES
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    State                |    IA
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    Zip                  |    50266-7719
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    Country              |    US
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    Telephone            |    515-224-1414
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    Fax                  |    515-224-5140
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. NICHOLAS J HONKAMP 
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    Credential           |    M.D.
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    Telephone            |    515-224-1414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207XS0106X
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    Taxonomy Name        |    Orthopaedic Hand Surgery Physician
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    License Number       |    
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    License Number State |    IA
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Taxonomy #2
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    Taxonomy Code        |    207XS0114X
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    Taxonomy Name        |    Adult Reconstructive Orthopaedic Surgery Physician
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    License Number       |    
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    License Number State |    IA
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Taxonomy #3
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    Taxonomy Code        |    208VP0000X
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    Taxonomy Name        |    Pain Medicine Physician
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    License Number       |    
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    License Number State |    IA
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Taxonomy #4
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    
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    License Number State |    IA
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Taxonomy #5
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    Taxonomy Code        |    207XS0117X
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    Taxonomy Name        |    Orthopaedic Surgery of the Spine Physician
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    License Number       |    
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    License Number State |    IA
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Taxonomy #6
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    Taxonomy Code        |    207XX0004X
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    Taxonomy Name        |    Orthopaedic Foot and Ankle Surgery Physician
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    License Number       |    
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    License Number State |    IA
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Taxonomy #7
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    Taxonomy Code        |    207XX0005X
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    Taxonomy Name        |    Sports Medicine (Orthopaedic Surgery) Physician
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    License Number       |    
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    License Number State |    IA
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Taxonomy #8
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    IA
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Taxonomy #9
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    
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    License Number State |    IA
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Taxonomy #10
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    
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    License Number State |    IA
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