| Dr Timothy C Ryken, MD | |
|
1215 Pleasant St Ste 608, Des Moines, IA 50309-1418 | |
| (515) 241-5760 | |
| (515) 241-8161 |
| Full Name | Dr Timothy C Ryken |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 37 Years |
| Location | 1215 Pleasant St Ste 608, Des Moines, Iowa |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235122359 | NPI | - | NPPES |
| 1030057 | Medicaid | VT | |
| 3109341 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | MD-28456 (Iowa) | Secondary |
| 207T00000X | Neurological Surgery | 18138 (New Hampshire) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lutheran Medical Center | Wheat ridge, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intermountain Medical Group Denver, Llc | 0840513552 | 454 |
| Entity Name | Intermountain Medical Group Denver, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083021083 PECOS PAC ID: 0840513552 Enrollment ID: O20150106000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy C Ryken, MD 630 E Amherst Ave, Englewood, CO 80113-1654 Ph: (319) 331-6603 | Dr Timothy C Ryken, MD 1215 Pleasant St Ste 608, Des Moines, IA 50309-1418 Ph: (515) 241-5760 |
Dr. David Thomas Christianson, MD Neurological Surgery Medicare: May Accept Medicare Assignments Practice Location: 1215 Pleasant St Ste 618, Des Moines, IA 50309 Phone: 515-875-9560 Fax: 515-875-9561 | |
Dr. David J Boarini, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1215 Pleasant St Ste 608, Des Moines, IA 50309 Phone: 515-875-9560 Fax: 515-875-9561 | |
Zoya A. Voronovich, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 6th Ave Ste B1, Des Moines, IA 50314 Phone: 515-358-0100 Fax: 515-358-0109 | |
Dr. Thomas A Carlstrom, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1215 Pleasant St, Ste 608, Des Moines, IA 50309 Phone: 515-241-5760 Fax: 515-241-8161 | |
Nicholas M Wetjen, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1215 Pleasant St Ste 608, Des Moines, IA 50309 Phone: 515-241-5760 | |
Dr. Royce W Woodroffe, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1215 Pleasant St Ste 608, Des Moines, IA 50309 Phone: 515-875-9560 Fax: 515-875-9561 |