| Richard Kent Scupham, MD | |
| 1212 Pleasant, #ll3, Des Moines, IA 50309-1414 | |
| (515) 241-8866 | |
| (515) 241-8855 | 
| Full Name | Richard Kent Scupham | 
|---|---|
| Gender | Male | 
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology | 
| Location | 1212 Pleasant, Des Moines, Iowa | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1316038490 | NPI | - | NPPES | 
| 0147835 | Medicaid | IA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 24041 (Iowa) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Richard Kent Scupham, MD 1212 Pleasant, #ll3, Des Moines, IA 50309-1414 Ph: (515) 241-8866 | Richard Kent Scupham, MD 1212 Pleasant, #ll3, Des Moines, IA 50309-1414 Ph: (515) 241-8866 | 
| Ramona Ann Thompson, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1111 6th Ave, Des Moines, IA 50314 Phone: 515-643-8638 | |
| Dr. Carolyn Su-ying Pease, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1111 6th Avenue, Mercy Medical Center, Des Moines, IA 50314 Phone: 515-643-8533 Fax: 515-643-8911 | |
| Dr. Lorie A. Montag, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1212 Pleasant, Suite #ll3, Des Moines, IA 50309 Phone: 515-241-8861 Fax: 515-241-8855 | |
| Timothy Floyd Drevyanko, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1212 Pleasant, #ll3, Des Moines, IA 50309 Phone: 515-241-8866 Fax: 515-241-8855 | |
| Jacob Edward Sramek, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1212 Pleasant St, Suite Ll3, Des Moines, IA 50309 Phone: 515-241-8866 | |
| Edward Fredric Loeb, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1212 Pleasant, #ll3, Des Moines, IA 50309 Phone: 515-241-8866 Fax: 515-241-8855 |