MERCY PROFESSIONAL PRACTICE ASSOCIATES INC (NPI# 1053555920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053555920 |
| Entity Type | Organization |
| Organization Name | MERCY PROFESSIONAL PRACTICE ASSOCIATES INC |
| Other Organization Name | MERCY NEUROSURGERY |
| Practice Address |
1111 6th Ave Level B1 Des Moines IA 50314-2613 |
| Mailing Address |
Po Box 4925 Des Moines IA 50305-4925 |
| Practice Telephone | 5153580100 |
| Practice Fax Number | 5153580109 |
| Mailing Telephone | 5153580100 |
| Mailing Fax Number | 5153580109 |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2012-10-18 |
| Authorized Official Name | DAVID H VELLINGA (PRESIDENT/CEO) |
| Authorized Official Telephone | 5152474278 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | IA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mercy Neurosurgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336501279 | Mercy Professional Practice Associates Inc | Internal Medicine | 300 N 4th Ave E, Suite C2, Newton, IA 50208-3155 | 2016-03-21 |
| 1235377128 | Mercy Professional Practice Associates Inc | Clinic/Center | 1111 6th Ave, West 1, Des Moines, IA 50314-2613 | 2009-01-30 |
| 1134367683 | Mercy Professional Practice Associates Inc | Nurse Practitioner | 1200 University Ave, Suite 200, Des Moines, IA 50314-2343 | 2009-01-21 |
| 1124263157 | Mercy Professional Practice Associates Inc | Neurological Surgery | 411 Laurel St, Suite 2350, Des Moines, IA 50314-3017 | 2008-12-04 |
| 1235389396 | Mercy Professional Practice Associates Inc | Surgery | 1111 6th Ave, Suite 500, Des Moines, IA 50314-2613 | 2008-09-25 |
| 1528244746 | Mercy Professional Practice Associates Inc | Clinic/Center | 1601 Nw 114th St, Suite 151, Clive, IA 50325-7007 | 2008-01-17 |
| Street Address |
1111 6TH AVE LEVEL B1 |
| City | DES MOINES |
| State | IA |
| Zip Code | 50314-2613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790785004 | Keven Odell Cutler | Emergency Medicine | 1111 6th Ave, Emergency Dept, Des Moines, IA 50314-2613 | 2005-07-28 |
| 1508470014 | Tammie Jordan | Pharmacist | 1111 6th Ave, Des Moines, IA 50314-2613 | 2020-09-02 |
| 1942812243 | Samantha Marie Ulsh | Nurse Practitioner | 1111 6th Ave, Des Moines, IA 50314-2613 | 2020-08-18 |
| 1962020677 | Jordyn Hauser | Dietitian, Registered | 1111 6th Ave, Des Moines, IA 50314-2613 | 2020-07-09 |
| 1659996528 | Doh Joon Park | Internal Medicine | 1111 6th Ave, Des Moines, IA 50314-2613 | 2020-06-16 |
| 1508481623 | Maianh T Tran | Surgery | 1111 6th Ave, Des Moines, IA 50314-2613 | 2020-06-15 |
| 1083239081 | Max E Reiche | Family Medicine | 1111 6th Ave, Des Moines, IA 50314-2613 | 2020-06-15 |
| 1760007488 | Obidike P Nwadike | Family Medicine | 1111 6th Ave, Des Moines, IA 50314-2613 | 2020-06-09 |
| 1154945970 | Jason C Wang | Internal Medicine | 1111 6th Ave, Des Moines, IA 50314-2613 | 2020-06-08 |
| 1588288435 | Elliot M Deblieck | Family Medicine | 1111 6th Ave, Des Moines, IA 50314-2613 | 2020-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982266979 | Dental Connections, Inc. | Dentist | 1111 9th Street, Suite 190, Des Moines, IA 50314 | 2019-07-01 |
| 1760910723 | Kelsey Taylor | Social Worker | 1761 Hickman Rd, Des Moines, IA 50314 | 2017-06-02 |
| 1184085672 | Allison J Robbins | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2016-03-11 |
| 1083081715 | Taylor Witzel | Specialist/Technologist | 450 Laurel Street, Des Moines, IA 50314 | 2015-08-28 |
| 1376893933 | Caring Hearts LLC | In Home Supportive Care | 1620 Pleasant, #245, Des Moines, IA 50314 | 2012-09-11 |
| 1104117522 | Akinbode Solomon Egbelakin | Pediatrics | 1111 6th Ave # Main3, Des Moines, IA 50314 | 2011-04-20 |
| 1447488325 | Abdelaziz Elhaddad | Internal Medicine | 95 University Avenue, Suite 1, Des Moines, IA 50314 | 2009-06-30 |
| 1356584080 | Tara Michelle Graff | Internal Medicine | 411 Laurel Street Suite A300, Des Moines, IA 50314 | 2009-04-10 |
| 1700068517 | Planned Parenthood of The Heartland | Family Medicine | 123 Clark Street, Des Moines, IA 50314 | 2007-12-04 |
| 1790903235 | Christy J. Meyer | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2007-04-22 |
| Find all providers in zip 50314 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275502726 | Nicholas M Wetjen | Neurological Surgery | 1215 Pleasant St Ste 608, Des Moines, IA 50309-1418 | 2006-03-16 |
| 1164762555 | Mercy Clinics, Inc | Neurological Surgery | 1111 6th Ave Ste B1, Des Moines, IA 50314-2610 | 2013-02-21 |
| 1881823052 | Einar Bogason | Neurological Surgery | 1111 6th Ave, East Tower, Suite B1, Des Moines, IA 50314-2613 | 2009-07-09 |
| 1124263157 | Mercy Professional Practice Associates Inc | Neurological Surgery | 411 Laurel St, Suite 2350, Des Moines, IA 50314-3017 | 2008-12-04 |
| 1992951370 | Troy Andrew Munson | Neurological Surgery | 1111 6th Ave, Suite: B1, Des Moines, IA 50314-2613 | 2008-08-17 |
| 1841481017 | Esmiralda Yeremeyeva Henderson | Neurological Surgery | 1111 6th Ave, Ste: B1, Des Moines, IA 50314-2613 | 2007-08-05 |
| 1619167954 | John Murage Gachiani | Neurological Surgery | 1111 6th Ave, Suite B1, Des Moines, IA 50314-2613 | 2007-08-01 |
| 1407823131 | Joseph Edward Sherrill II | Neurological Surgery | 1215 Pleasant St, Ste 608, Des Moines, IA 50309 | 2006-03-01 |
| 1740276773 | John G Piper | Neurological Surgery | 1215 Pleasant St, Ste 608, Des Moines, IA 50309 | 2005-09-26 |
| 1205829819 | David J Boarini | Neurological Surgery | 1215 Pleasant St, Ste 608, Des Moines, IA 50309 | 2005-08-30 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50314 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.