| Derek Groathouse, RD | |
|
3801 S James St Ste 400, Grimes, IA 50111-5167 | |
| (515) 695-3767 | |
| Not Available |
| Full Name | Derek Groathouse |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 3801 S James St Ste 400, Grimes, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881463370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 121584 (Iowa) | Primary |
| Provider Name | Iowa Specialty Hospital- Clarion |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396760153 PECOS PAC ID: 3375451347 Enrollment ID: O20031120000622 |
| Provider Name | Belmond Community Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821122623 PECOS PAC ID: 1052201852 Enrollment ID: O20040316001360 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Groathouse, RD 3515 S Duff Ave, Ames, IA 50010-8504 Ph: (515) 480-8761 | Derek Groathouse, RD 3801 S James St Ste 400, Grimes, IA 50111-5167 Ph: (515) 695-3767 |
Kelli Hanson, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 14518 N Valley Dr, Grimes, IA 50111 Phone: 507-995-9063 |
Amy Clark, RD, LD Dietitian Medicare: May Accept Medicare Assignments Practice Location: 3801 S James St Ste 400, Grimes, IA 50111 Phone: 515-695-3768 Fax: 833-719-1241 |
Sara Marie Haerther, RD, LD, MPP-D Dietitian Medicare: Medicare Enrolled Practice Location: 1509 Ne Heritage Dr, Grimes, IA 50111 Phone: 641-425-6629 |