# DAVID S. TEARSE M.D., LLC

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

## Provider details

- **NPI number:** 1942409172
- **Authorized official:** DR. DAVID S. TEARSE M.D. (OWNER)
- **Authorized official phone:** (319) 366-5633

## Contact information

- **Practice address:** 112 14TH ST SE, CEDAR RAPIDS, IA 52403-4025
- **Practice address phone:** (319) 366-5633
- **Practice address fax:** (319) 366-2142
- **Mailing address:** 2213 GRAND AVE, DES MOINES, IA 50312-5305
- **Mailing address phone:** (515) 237-3974
- **Mailing address fax:** (515) 883-2692

## Taxonomy

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

## Other

- **Enumeration date:** 07/17/2007
- **Last updated:** 05/23/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1942409172 | — | IA |
| 01 | — | 611562900 | OWCP | IA |
| 01 | — | DG2519 | RAILROAD MEDICARE | IA |