# IOWA ORTHOPAEDIC CENTER, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659208148
- **Authorized official:** TIARA JOHNSON (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (515) 518-1633

## Contact information

- **Practice address:** 2425 GRAND PRAIRIE PKWY, WAUKEE, IA 50263-8994
- **Practice address phone:** (515) 247-8400
- **Practice address fax:** (515) 248-8888
- **Mailing address:** 2425 GRAND PRAIRIE PKWY, WAUKEE, IA 50263-8994
- **Mailing address phone:** (515) 247-8400
- **Mailing address fax:** (515) 248-8888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/07/2026
- **Last updated:** 05/14/2026