Provider Demographics
NPI:1073693719
Name:CONKLIN, JONA MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:JONA
Middle Name:MARIE
Last Name:CONKLIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JONA
Other - Middle Name:MARIE
Other - Last Name:RUSHING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1475
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50305-1475
Mailing Address - Country:US
Mailing Address - Phone:515-643-6888
Mailing Address - Fax:515-643-6899
Practice Address - Street 1:5901 WESTOWN PKWY STE 225
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-8297
Practice Address - Country:US
Practice Address - Phone:515-643-6888
Practice Address - Fax:515-643-6899
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME107193207V00000X
SCLL29003207V00000X
IAMD-39662207VM0101X, 207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002380900Medicaid
FL002380900Medicaid