Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stadia Sports Medicine PC

Organization Sports Medicine (Neuromusculoskeletal Medicine) Physician · NPI 1962453274

Stadia Sports Medicine PC is a Sports Medicine (Neuromusculoskeletal Medicine) Physician 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
Show map & directions

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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