Provider Demographics
NPI:1548262082
Name:JOCHIMS, JERRY LEVERNE (MD)
Entity type:Individual
Prefix:
First Name:JERRY
Middle Name:LEVERNE
Last Name:JOCHIMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2213 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50312-5305
Mailing Address - Country:US
Mailing Address - Phone:515-237-3974
Mailing Address - Fax:515-883-2692
Practice Address - Street 1:1225 S GEAR AVE
Practice Address - Street 2:SUITE 159
Practice Address - City:WEST BURLINGTON
Practice Address - State:IA
Practice Address - Zip Code:52655-1691
Practice Address - Country:US
Practice Address - Phone:319-752-4553
Practice Address - Fax:319-752-7215
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2013-01-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA17687207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
A00939Medicare UPIN