Nathan Earl Boonstra
MD | Pediatrics | Male
Nathan Earl Boonstra, MD is a Des Moines, Iowa based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Nathan Earl Boonstra is
1212 Pleasant St, Suite 300, Des Moines, Iowa - 50309-1453. He can be contacted on phone at
515-241-8923 and fax number 515-241-8728.
Nathan Earl Boonstra is a sole proprietor of his business.
NPI number (Unique professional ID) for Nathan Earl Boonstra is
1649250713 which was assigned by NPPES on 17 Jan, 2006 and it was last updated on 08 Nov, 2011.
Nathan Earl Boonstra license number is
36377 for Pediatrics (208000000X) in Iowa.
Nathan Earl Boonstra is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Nathan Earl Boonstra basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Nathan Earl Boonstra |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Nathan Earl Boonstra address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1212 Pleasant St, Suite 300
Des Moines, IA, 50309-1453
United States |
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| Phone Number : | 515-241-8923 |
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| Fax Number : | 515-241-8728 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1649250713 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Jan, 2006 |
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| Last Updated On : | 08 Nov, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nathan Earl Boonstra are as mentioned. Primary taxonomy code for Nathan Earl Boonstra, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 36377 | IA |
Legacy Identifiers:
Other legacy medical identifiers of Nathan Earl Boonstra such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 207559006 | MEDICAID | MO | |
| 17515008 | Other | | MEDICARE |
| 1649250713 | MEDICAID | IA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1212 Pleasant St, Suite 300
Des Moines, IA, 50309-1453
United States |
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| Phone Number : | 515-241-8923 |
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| Fax Number : | 515-241-8728 |
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Business Location:
Patients can refer following map for directions to
Nathan Earl Boonstra practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.