MEDICARE: IOWA PAIN MANAGEMENT AND MEDICINE CLINIC PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	207R00000X	Internal Medicine Physician	IA
2	208VP0000X	Pain Medicine Physician	IA
3	363L00000X	Nurse Practitioner	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225083132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IOWA PAIN MANAGEMENT AND MEDICINE CLINIC PC

Provider Business Mailing Address
First Line	:	2717 E EUCLID AVE
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50317-4243
Country	:	US
Telephone Number	:	515-243-2057
Fax Number	:	515-244-5570

Provider Business Practice Location Address
First Line	:	1235 8TH ST
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50265-2623
Country	:	US
Telephone Number	:	515-263-3236
Fax Number	:	515-225-4048

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	JOHN F. PEPPIN
Credential	:	DO
Telephone Number	:	515-263-3236

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	09/11/2025

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Directions to “IOWA PAIN MANAGEMENT AND MEDICINE CLINIC PC ” Practice Location

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