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RICHARD DOUGLAS PA-C
NPI 1710935804
Physician Assistant - Medical in Des Moines, IA

Active since May 04, 2006PECOS Enrolled
3600 30TH ST, PRIMARY CARE, DES MOINES, IA 50310(515) 699-5999 Get Directions Write a Review

NPPES record last updated: July 9, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard Douglas Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD DOUGLAS PA-C (NPI 1710935804) is an individual medical provider in Des Moines, Iowa, licensed in Iowa (1582) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710935804
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameRICHARD DOUGLASCredential: PA-C
Location Address3600 30TH ST, PRIMARY CAREDes Moines, IA 50310-5876
Mailing Address3600 30th St, Primary CareDes Moines, IA 50310-5876 · (515) 699-5999
Phone(515) 699-5999
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateJuly 9, 2010
✔ NPI 1710935804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in IA · 1582
3600 30TH ST, Des Moines, IA 50310
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard Douglas Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESS THOMPSON PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3600 30TH ST
DES MOINES, IA 50310
Polk County (515) 699-5999
MRS. QUINTA AWAH-NDANG MBONGHO
Licensed Practical Nurse
3600 30TH ST
DES MOINES, IA 50310
Polk County (515) 699-5999
WENDY FREESMEIER RN
Registered Nurse (Case Management)
3600 30TH ST
DES MOINES, IA 50310
Polk County (515) 699-5999
TABETHA TARA SCHRODER NP-C
Nurse Practitioner (Family)
3600 30TH ST
DES MOINES, IA 50310
Polk County (515) 669-7108
DR. NATALIE S GULBRANSON PHARMD
Pharmacist (Ambulatory Care)
3600 30TH ST, VACIHCS PHARMACY 119
DES MOINES, IA 50310
Polk County (515) 699-5999
KIMBERLY REDEKER PHARMD
Pharmacist
3600 30TH ST
DES MOINES, IA 50310
Polk County (515) 699-5999
MRS. MARY STEIM
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3600 30TH ST
DES MOINES, IA 50310
Polk County (515) 699-5999
DR. JENNIFER DAHMS DPT
Military Health Care Provider
3600 30TH ST
DES MOINES, IA 50310
Polk County (515) 306-8315

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Douglas's NPI number?

The NPI number for Richard Douglas is 1710935804. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Richard Douglas located?

Richard Douglas practices at 3600 30th St Primary Care, Des Moines, IA 50310. The listed phone number is (515) 699-5999.

What is Richard Douglas's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Richard Douglas enrolled in Medicare?

Yes. Richard Douglas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Richard Douglas was last updated on July 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.