Provider Demographics
NPI:1285608323
Name:PLEW, DANA L (DPM)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:L
Last Name:PLEW
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:DANA
Other - Middle Name:L
Other - Last Name:PLEW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:5335 MERLE HAY ROAD
Mailing Address - Street 2:SUITE #8
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-1238
Mailing Address - Country:US
Mailing Address - Phone:515-252-6063
Mailing Address - Fax:515-252-6157
Practice Address - Street 1:5335 MERLE HAY RD
Practice Address - Street 2:SUITE #8
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-1238
Practice Address - Country:US
Practice Address - Phone:515-252-6063
Practice Address - Fax:515-252-6157
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2017-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00648213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0136705Medicaid
IA1240820001Medicare NSC
IA53916Medicare ID - Type Unspecified
IA0136705Medicaid