Provider Demographics
NPI:1871698183
Name:METTS, JAMES MICHAEL (DO)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:MICHAEL
Last Name:METTS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:J
Other - Middle Name:MICHAEL
Other - Last Name:METTS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 1475
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50305-1475
Mailing Address - Country:US
Mailing Address - Phone:515-643-2600
Mailing Address - Fax:515-643-4733
Practice Address - Street 1:5900 E. UNIVERSITY AVENUE
Practice Address - Street 2:SUITE 300
Practice Address - City:PLEASANT HILL
Practice Address - State:IA
Practice Address - Zip Code:50327-8469
Practice Address - Country:US
Practice Address - Phone:515-643-2600
Practice Address - Fax:515-643-4733
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA3216208000000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA33464OtherWELLMARK
IAI8441Medicare ID - Type Unspecified
IAH05561Medicare UPIN
IA3192765Medicaid