Dr Samuel J Storch, MD | |
5950 University Ave Ste 341, West Des Moines, IA 50266-8289 | |
(515) 875-9255 | |
(515) 875-9101 |
Full Name | Dr Samuel J Storch |
---|---|
Gender | Male |
Speciality | Urology |
Location | 5950 University Ave Ste 341, West Des Moines, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003880907 | NPI | - | NPPES |
1003880907 | Other | NC | RAILROAD MEDICARE |
1003880907 | Medicaid | VA | |
80179 | Other | NC | BLUECROSS BLUESHIELD |
7980179 | Medicaid | NC | |
1003880907 | Other | NC | BLUE MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MD-46783 (Iowa) | Primary |
174400000X | Specialist | 30099 (North Carolina) | Secondary |
208800000X | Urology | 30099 (North Carolina) | Secondary |
Entity Name | Dlp Western Carolina Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609281641 PECOS PAC ID: 9032338975 Enrollment ID: O20140908002531 |
Mailing Address | Practice Location Address |
---|---|
Dr Samuel J Storch, MD 5950 University Ave Ste 321, West Des Moines, IA 50266-8289 Ph: (515) 875-9255 | Dr Samuel J Storch, MD 5950 University Ave Ste 341, West Des Moines, IA 50266-8289 Ph: (515) 875-9255 |
Fawad Sabooh Zafar, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1000 73rd St Ste 17, West Des Moines, IA 50265 Phone: 515-277-8900 Fax: 515-223-7361 | |
Dr. Jonathan M Fialkov, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 5950 University Ave, Ste 341, West Des Moines, IA 50266 Phone: 515-875-9800 Fax: 515-875-9802 | |
Anthony Avallone, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 5950 University Ave Ste 341, West Des Moines, IA 50266 Phone: 515-875-9800 | |
Dr. John Clark Bardole, M.D. Urology Medicare: Medicare Enrolled Practice Location: 5950 University Ave, Ste 341, West Des Moines, IA 50266 Phone: 515-875-9800 Fax: 515-875-9802 | |
John Cochran, MD Urology Medicare: Medicare Enrolled Practice Location: 5950 University Ave Ste 341, West Des Moines, IA 50266 Phone: 515-875-9800 Fax: 515-875-9804 |