Basic Information
| Provider Information | |||||||||
| NPI: | 1871698183 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | METTS | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | MICHAEL | ||||||||
| NamePrefix: | |||||||||
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| Credential: | DO | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | METTS | ||||||||
| OtherFirstName: | J | ||||||||
| OtherMiddleName: | MICHAEL | ||||||||
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| OtherCredential: | DO | ||||||||
| OtherLastNameType: | 2 | ||||||||
| Mailing Information | |||||||||
| Address1: | PO BOX 1475 | ||||||||
| Address2: | |||||||||
| City: | DES MOINES | ||||||||
| State: | IA | ||||||||
| PostalCode: | 503051475 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5156432600 | ||||||||
| FaxNumber: | 5156434733 | ||||||||
| Practice Location | |||||||||
| Address1: | 5900 E. UNIVERSITY AVENUE | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | PLEASANT HILL | ||||||||
| State: | IA | ||||||||
| PostalCode: | 503278469 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5156432600 | ||||||||
| FaxNumber: | 5156434733 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/13/2006 | ||||||||
| LastUpdateDate: | 06/30/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 3216 | IA | Y | Allopathic & Osteopathic Physicians | Pediatrics | 208M00000X | 3216 | IA | N | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.