Provider Demographics
NPI:1992725782
Name:IOWA SLEEP DISORDERS CENTER, P.C.
Entity type:Organization
Organization Name:IOWA SLEEP DISORDERS CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:ZORN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:515-225-0188
Mailing Address - Street 1:4060 WESTOWN PKWY
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-1010
Mailing Address - Country:US
Mailing Address - Phone:515-225-0188
Mailing Address - Fax:515-225-0971
Practice Address - Street 1:4060 WESTOWN PKWY
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-1010
Practice Address - Country:US
Practice Address - Phone:515-225-0188
Practice Address - Fax:515-225-0971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA21499207RP1001X
261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA16712OtherBLUE CROSS
IA290003284OtherRR MEDICARE
IA0167122Medicaid
IA290003284OtherRR MEDICARE
IAI11760Medicare ID - Type Unspecified
A01521Medicare UPIN