| Metro Geriatrics | |
|
13435 University Ave Suite 500 Clive IA 50325-8249 | |
| (515) 225-7132 | |
| (515) 218-1500 |
| Full Name | Metro Geriatrics |
|---|---|
| Speciality | Family Medicine |
| Location | 13435 University Ave, Clive, Iowa |
| Authorized Official Name and Position | Robert D. Conner (SOLE MEMBER) |
| Authorized Official Contact | 5152257132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Geriatrics 1501 50th St Ste 110 West Des Moines IA 50266-5920 Ph: (515) 237-3974 | Metro Geriatrics 13435 University Ave Suite 500 Clive IA 50325-8249 Ph: (515) 225-7132 |
| NPI Number | 1174933998 |
|---|---|
| Provider Enumeration Date | 05/01/2014 |
| Last Update Date | 05/22/2024 |
| Medicare PECOS PAC ID | 4587887088 |
|---|---|
| Medicare Enrollment ID | O20140602002520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174933998 | NPI | - | NPPES |
| IN PROCESS | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 01911 (Iowa) | Primary |
| Provider Name | Robert D Conner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447363700 PECOS PAC ID: 2769472224 Enrollment ID: I20040517000130 |
| Provider Name | Michael P Oconner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396724167 PECOS PAC ID: 2769451830 Enrollment ID: I20040927000722 |
| Provider Name | Daniel Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063437812 PECOS PAC ID: 7012953623 Enrollment ID: I20050706000171 |
| Provider Name | Robert L Bender |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1740254218 PECOS PAC ID: 0244262566 Enrollment ID: I20050908000103 |
| Provider Name | Stephanie L Eason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952552655 PECOS PAC ID: 0547457673 Enrollment ID: I20101215000137 |
| Provider Name | Patricia L Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265748826 PECOS PAC ID: 1658551320 Enrollment ID: I20110211001012 |
| Provider Name | Jacquelyn E Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639457534 PECOS PAC ID: 1052583259 Enrollment ID: I20111012000589 |
| Provider Name | Nicole Fluharty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457695595 PECOS PAC ID: 9234383985 Enrollment ID: I20130204000438 |
| Provider Name | Katharine Marie Turpin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811145691 PECOS PAC ID: 8224195284 Enrollment ID: I20150727000542 |
| Provider Name | Nicole Dyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619309713 PECOS PAC ID: 5092945733 Enrollment ID: I20160503001572 |
| Provider Name | Amanda Lizette Monroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073068979 PECOS PAC ID: 9537457650 Enrollment ID: I20161005001597 |
| Provider Name | Jennifer Mockus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184167108 PECOS PAC ID: 5991081523 Enrollment ID: I20170417000684 |
| Provider Name | Taylor M Sula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518445766 PECOS PAC ID: 3274883319 Enrollment ID: I20180911000969 |
| Provider Name | Sarah Sue Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124580329 PECOS PAC ID: 9032452578 Enrollment ID: I20190523002376 |
| Provider Name | Nadia Ann Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376106302 PECOS PAC ID: 5991030298 Enrollment ID: I20190709001765 |
| Provider Name | Julianne Carson-hem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184211591 PECOS PAC ID: 7315101094 Enrollment ID: I20210108000798 |
| Provider Name | Marina Pathan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598334781 PECOS PAC ID: 9335543685 Enrollment ID: I20210809001111 |
| Provider Name | Kelsee Browning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669885745 PECOS PAC ID: 8820394265 Enrollment ID: I20230106001968 |
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