Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Stadia Sports Medicine PC

Organization Sports Medicine (Neuromusculoskeletal Medicine) Physician · NPI 1962453274

Stadia Sports Medicine PC provides Sports Medicine (Neuromusculoskeletal Medicine) Physician services in West Des Moines, Iowa. Licensed in Iowa. Registered with an NPI since 2006.

Licensed in
IA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7601 Ofc Plaza DR N Ste 140
West Des Moines, IA 50266-1207
Phone: (515) 221-1102
Fax: (515) 221-1272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Neuromusculoskeletal Medicine) Physician (primary) Taxonomy 204C00000X · Licence 36501 (IA)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1962453274
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chad Carlson — Ceo, Stadia Sports Medicine · (515) 221-1102
NPI enumeratedMay 12, 2006
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026
Mailing address7601 Office Plaza Dr N Ste 140, West Des Moines, IA 50266-1207

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