Provider Demographics
NPI:1548461189
Name:CENTRAL IOWA ORTHOPAEDICS GROUP LLP
Entity type:Organization
Organization Name:CENTRAL IOWA ORTHOPAEDICS GROUP LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:BOSTWICK
Authorized Official - Last Name:NEFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:515-222-3151
Mailing Address - Street 1:1601 NW 114TH ST
Mailing Address - Street 2:SUITE 142
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50325-7007
Mailing Address - Country:US
Mailing Address - Phone:515-222-3151
Mailing Address - Fax:515-226-2561
Practice Address - Street 1:1601 NW 114TH ST
Practice Address - Street 2:SUITE 142
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50325-7007
Practice Address - Country:US
Practice Address - Phone:515-222-3151
Practice Address - Fax:515-226-2561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAIB1014Medicare PIN