HRT IA PC – NPI #1104639962
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

Health Care Provider Taxonomy Code for Family Medicine

HRT IA PC is a provider located in WEST DES MOINES, IA. NPPES has assigned the NPI number 1104639962 to HRT IA PC on January 27, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HRT IA PC below.

NPI Profile for
HRT IA PC

NPI Number
1104639962
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HRT IA PC
Primary location
800 S 50TH ST STE 101
WEST DES MOINES, IA 50265-5382
Phone: (725) 204-6055 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
AMANDA WILKINSON
BUSINESS OPERATIONS DIRECTOR
Phone: (602) 796-2559
Updated
Certification Date
Jan 27, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.