| Pediatric Neurology Divine Solutions Pllc | |
|
974 73rd St Ste 25 West Des Moines IA 50265-1026 | |
| (515) 724-7637 | |
| Not Available |
| Full Name | Pediatric Neurology Divine Solutions Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 974 73rd St Ste 25, West Des Moines, Iowa |
| Authorized Official Name and Position | Stephen T. H. Gutu (MD/OWNER) |
| Authorized Official Contact | 5157247637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Neurology Divine Solutions Pllc 974 73rd St Ste 25 West Des Moines IA 50265-1026 Ph: () - | Pediatric Neurology Divine Solutions Pllc 974 73rd St Ste 25 West Des Moines IA 50265-1026 Ph: (515) 724-7637 |
| NPI Number | 1508491531 |
|---|---|
| Provider Enumeration Date | 03/10/2020 |
| Last Update Date | 01/27/2023 |
| Certification Date | 01/27/2023 |
| Medicare PECOS PAC ID | 1254752785 |
|---|---|
| Medicare Enrollment ID | O20200609000423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508491531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
| Provider Name | Stephen Gutu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528212594 PECOS PAC ID: 5294971123 Enrollment ID: I20130423000058 |
Iowa Family Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4401 Westown Pkwy Ste 250, West Des Moines, IA 50266 Phone: 515-270-0093 Fax: 515-270-4939 | |
Karen R Ahrens Psy.d. Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1200 Valley West Dr Ste 206-17, West Des Moines, IA 50266 Phone: 515-556-1558 | |
Loneylohrdannen Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 Office Park Rd Ste 235, West Des Moines, IA 50265 Phone: 515-200-3770 | |
Starting New Chapters Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4949 Westown Pkwy Ste 100, West Des Moines, IA 50266 Phone: 515-729-2431 | |
Harmonic Medical Group Of Iowa, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1503 42nd St Ste 210, West Des Moines, IA 50266 Phone: 314-368-4224 | |
Summit Therapy Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4949 Westown Pkwy Ste 100, West Des Moines, IA 50266 Phone: 515-329-6039 | |
Erin Sawhill, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Valley West Dr Ste 304-13, West Des Moines, IA 50266 Phone: 515-423-2797 |