Tracy L Ekhardt
Pediatric Critical Care Doctor
1200 Pleasant St
Des Moines
, Iowa 50309-1406
Tracy L Ekhardt
Pediatric Critical Care Doctor
1200 Pleasant St
Des Moines
, Iowa 50309-1406
(515) 241-5127
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About
Features
Specialties
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- Tracy L Ekhardt
- 1200 Pleasant St
- Des Moines, IA
- Zip : 50309-1406
- Fax : (515) 241-5127
- Phone : (515) 241-5926
Second Address
- Tracy L Ekhardt
- 1200 Pleasant St
- Des Moines, IA
- Zip : 50309-1406
- Fax : (515) 241-5127
- Phone : (515) 241-5926
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0203X | Pediatric Critical Care Doctor | 36820 | IA |
National Provider Identifier
| NPI | 1265500383 |
|---|---|
| Provider Name | Tracy L Ekhardt |
| First Address | Des Moines, IA 50309-1406 |
| Second Address | Des Moines, IA 50309-1406 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/11/2006 |
| Last Update Date | 13/09/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100264995-00 | (05) | NE |
| 1265500383 | (05) | IA |
| 175150065 | (02) | IA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.