Basic Information
Provider Information
NPI: 1700872801
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PIROS
FirstName: JAMES
MiddleName: GEORGE
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6800 LAKE DRIVE
Address2: STE 250
City: WEST DES MOINES
State: IA
PostalCode: 502662504
CountryCode: US
TelephoneNumber: 5158759925
FaxNumber: 5158759923
Practice Location
Address1: 5950 UNIVERSITY AVE
Address2: STE 221
City: WEST DES MOINES
State: IA
PostalCode: 502668216
CountryCode: US
TelephoneNumber: 5158759115
FaxNumber: 5158759117
Other Information
ProviderEnumerationDate: 09/23/2005
LastUpdateDate: 08/23/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RG0100X19935IAY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology

No ID Information.


Home