Provider Demographics
NPI:1942429824
Name:SCOTT B NEFF DOPC
Entity Type:Organization
Organization Name:SCOTT B NEFF DOPC
Other - Org Name:CENTRAL IOWA ORTHOPAEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:BOSTWICK
Authorized Official - Last Name:NEFF
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:515-222-3151
Mailing Address - Street 1:1601 NW 114TH STREET
Mailing Address - Street 2:SUITE 142
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50325-7036
Mailing Address - Country:US
Mailing Address - Phone:515-222-3151
Mailing Address - Fax:515-222-3155
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:50325-7036
Practice Address - Country:US
Practice Address - Phone:515-222-3151
Practice Address - Fax:515-222-3155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01946207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0590800001Medicare NSC