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

Tanner Canova

Individual provider Physician Assistant · NPI 1396391637

Tanner Canova is a Physician Assistant in West Des Moines, Iowa. Qualified in 2020, 6 years ago. Practices with The Iowa Clinic PC, a 305-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
6
Licensed in
IA
In the registry since
2019
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Practice location Address checks out

5950 University Ave Ste 265
West Des Moines, IA 50266-8233
Phone: (515) 875-9450
Fax: (515) 875-9457
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 108441 (IA)

Record details

NPI number1396391637
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 13, 2019
Last updated in NPPESDecember 15, 2023
Certification dateDecember 15, 2023
Mailing addressPo Box 424, Des Moines, IA 50302-0424

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice The Iowa Clinic Pc — 305 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in West Des Moines