Whalio Doctors

NPI 1962453274

Stadia Sports Medicine PC

Organisation Sports Medicine (Neuromusculoskeletal Medicine) Physician West Des Moines, IA

Practice location

Address
7601 Office Plaza Dr N STE 140, West Des Moines, IA 50266-1207
Phone
(515) 221-1102
Fax
(515) 221-1272

Authorised official

Name
Chad Thomas Carlson
Title
Ceo, Stadia Sports Medicine
Phone
(515) 221-1102

Registered specialties (2)

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence 36501 (IA)
Physical Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

Registry record

NPI
1962453274
Entity type
Organization
NPI issued
12 May 2006
Record last updated
10 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.