Kelly N Gann
Physician Assistant

Address: 3200 Grand Ave Fl 6, Des Moines, IA 50312-4104
Phone: (515) 244-6162

Kelly N Gann (NPI# 1649525817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1649525817
Entity Type Individual
Full Name Kelly N Gann
Credential PA-C
Gender Female
Practice Address 3200 Grand Ave Fl 6
Des Moines
IA 50312-4104
Practice Telephone (515) 244-6162
Practice Fax Number 5152663105
Mailing Address 3200 Grand Ave Fl 6
Des Moines
IA 50312-4104
Mailing Telephone (515) 244-6162
Mailing Fax Number 5152663105
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2012-07-13
Last Update Date 2017-09-29

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers PA.0003460 CO
Yes 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers 076271 IA

Physician Overview

NPI 1649525817
PAC ID by PECOS 9830346469
Professional Enrollment ID I20150328000225
Full Name Kelly N Gann
Organization Legal Name IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
Phone Number 5159654660
Gender F
Graduation Year 2012
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 8729992318
Number of Group Practice Members 816
Accepts Medicare Assignment Y
Report Quality Measures Y

Office Location

Street Address 3200 GRAND AVE FL 6
City DES MOINES
State IA
Zip Code 50312-4104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770007155 Ruth Nguyen Nurse Practitioner 3200 Grand Ave Fl 6, Des Moines, IA 50312-4104 2017-07-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194209312 Margaret Dedecker Speech-Language Pathologist 644 24th St., Des Moines, IA 50312 2018-09-24
1942702410 Nelson-kirby Therapy & Consulting Services, LLC Marriage & Family Therapist 3900 Ingersoll Avenue Suite 108, Des Moines, IA 50312 2018-03-01
1851839864 Lawrence Scanlon Counselor 412 42nd St, Des Moines, IA 50312 2017-02-09
1104275122 Melissa Joshel Social Worker 2116 Grand Ave Ste 2, Des Moines, IA 50312 2016-06-09
1629435813 Abby Michele Miller Acupuncturist 531 40th Street, Des Moines, IA 50312 2016-01-20
1336558154 Paul Johnston Counselor 600 42nd Street, Des Moines, IA 50312 2014-08-06
1083847214 Mark David Ravreby Internal Medicine 3663 Grand Ave, #204, Des Moines, IA 50312 2009-09-04
1962535906 Carey Ann Ryan Registered Nurse 2708 Grand Ave, Ste B, Des Moines, IA 50312 2007-03-13
1659420099 Stephen R Mandler Psychiatry & Neurology 2116 Grand Ave, Des Moines, IA 50312 2007-01-08
1528153285 Passageway, Inc. Community/Behavioral Health 6000 Grand Avenue Suite G, Des Moines, IA 50312 2006-10-04
Find all providers in zip 50312

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710463708 Mary Jane Mills Physician Assistant 1344 Park Ave, Des Moines, IA 50315-7574 2018-07-13
1972989721 Jayson Gesulga Physician Assistant 600 E Court Ave, Ste 200, Des Moines, IA 50309-2058 2015-08-04
1982948485 Danielle R Horgen Physician Assistant 1111 6th Ave Ste B1, Des Moines, IA 50314-2610 2012-11-21
1578840229 Mary Lynne Klemesrud Physician Assistant 1750 48th Street, Suite: 1, Des Moines, IA 50310-1988 2011-11-09
1518275247 Jason Richard Tentinger Physician Assistant 3850 Merle Hay Rd, Suite 500, Des Moines, IA 50310-1330 2010-09-15
1750618401 Jasmina Salcinovic-spahic Physician Assistant 200 Army Post Rd., Ste 26, Des Moines, IA 50315-6203 2009-11-17
1871724161 Tonya Norvell Diehn Physician Assistant 3509 E 29th Street, Des Moines, IA 50317 2009-08-04
1952459463 David Lawrence Yurdin Physician Assistant 1200 University Ave Ste 120, Des Moines, IA 50314-2355 2007-01-08
1174613996 Deborah Maria Giddings Physician Assistant 1511 Thompson Ave, Des Moines, IA 50316-1625 2006-10-13
1649210774 Paul A Snowdy Physician Assistant 6601 Sw 9th St, Des Moines, IA 50315-6138 2006-06-07
Find all providers in DES MOINES

Competitor

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City DES MOINES
Zip Code 50312

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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