Provider Demographics
NPI:1790106367
Name:DES MOINES ORTHOPAEDIC SURGEONS PC
Entity Type:Organization
Organization Name:DES MOINES ORTHOPAEDIC SURGEONS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:HONKAMP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-224-1414
Mailing Address - Street 1:6001 WESTOWN PKWY
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-7719
Mailing Address - Country:US
Mailing Address - Phone:515-224-1414
Mailing Address - Fax:515-224-5140
Practice Address - Street 1:311 S CLARK ST
Practice Address - Street 2:STE 285
Practice Address - City:CARROLL
Practice Address - State:IA
Practice Address - Zip Code:51401-3086
Practice Address - Country:US
Practice Address - Phone:712-792-2093
Practice Address - Fax:712-792-2096
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DES MOINES ORTHOPAEDIC SURGEONS PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-12-26
Last Update Date:2014-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies