Provider Demographics
NPI:1669418166
Name:CONTE, PAUL ANDREW (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ANDREW
Last Name:CONTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4949 WESTOWN PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-6704
Mailing Address - Country:US
Mailing Address - Phone:515-225-7001
Mailing Address - Fax:515-440-1953
Practice Address - Street 1:5901 WESTOWN PKWY STE 110
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-8207
Practice Address - Country:US
Practice Address - Phone:515-225-7001
Practice Address - Fax:515-440-1953
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA34077208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1239442Medicaid
IA1239442Medicaid