=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679477822
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NERVE CENTER OF IOWA, P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/02/2026
-----------------------------------------------------
Last Update Date | 10/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1370 NW 114TH ST STE 205
-----------------------------------------------------
City | CLIVE
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 50325-7011
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 515-612-1200
-----------------------------------------------------
Fax | 515-347-8849
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1370 NW 114TH ST STE 205
-----------------------------------------------------
City | CLIVE
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 50325-7011
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 515-612-1200
-----------------------------------------------------
Fax | 515-347-8849
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | LOGAN MCCOOL
-----------------------------------------------------
Credential | DO
-----------------------------------------------------
Telephone | 515-612-1200
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208100000X
-----------------------------------------------------
Taxonomy Name | Physical Medicine & Rehabilitation Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------