MERCY HOSPITAL, IOWA CITY, IOWA (NPI# 1124089347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124089347 |
| Entity Type | Organization |
| Organization Name | MERCY HOSPITAL, IOWA CITY, IOWA |
| Other Organization Name | MERCY IOWA CITY PROFESSIONAL SERVICES |
| Practice Address |
500 E Market St Iowa City IA 52245 |
| Mailing Address |
1486 S 1st Ave Ste B Iowa City IA 52240-6072 |
| Practice Telephone | 3193393452 |
| Practice Fax Number | 3193393906 |
| Mailing Telephone | 3193393992 |
| Mailing Fax Number | 3193582628 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2020-01-27 |
| Authorized Official Name | KIMBERLY ANN ROSSITER (CONTROLLER) |
| Authorized Official Telephone | 3193393900 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY HOSPITAL, IOWA CITY, IOWA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | BLUE CROSS BLUE SHIELD | 12741 | 01 |
| IA | 0127415 | 05 |
| Other Name | Type Code |
|---|---|
| Mercy Iowa City Professional Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386620029 | Mercy Hospital, Iowa City, Iowa | Home Health | 540 E Jefferson St Ste 305, Iowa City, IA 52245-2479 | 2005-12-15 |
| 1982664124 | Mercy Hospital, Iowa City, Iowa | General Acute Care Hospital | 500 E Market St, Iowa City, IA 52245 | 2006-03-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCY HOSPITAL, IOWA CITY, IOWA | 500 E Market St, Iowa City, IA 52245-2633 |
| Iowa Business Entities | MERCY HOSPITAL, IOWA CITY, IOWA | 500 E Market St, Iowa City, IA 52245 |
| Street Address |
500 E MARKET ST |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669461232 | Gabriela Cherascu | Psychiatry & Neurology | 500 E Market St, Iowa City, IA 52245-2633 | 2005-10-17 |
| 1306486030 | Allison M Donovan | Family Medicine | 500 E Market St, Iowa City, IA 52245-2633 | 2020-01-10 |
| 1316582729 | Johnson County Emergency Medicine, Plc | Emergency Medicine | 500 E Market St, Iowa City, IA 52245-2633 | 2019-11-08 |
| 1932757275 | Sara Cathi | Dietitian, Registered | 500 E Market St, Iowa City, IA 52245-2633 | 2019-08-29 |
| 1851944045 | Anna Maria Bruns | Occupational Therapist | 500 E Market St, Iowa City, IA 52245-2633 | 2019-07-17 |
| 1386129039 | Wound Care and Hyperbaric Physicians Plc | Anesthesiology | 500 E Market St, Iowa City, IA 52245-2633 | 2018-09-28 |
| 1336664473 | Morgan Lynn Dezorzi | Dietitian, Registered | 500 E Market St, Iowa City, IA 52245-2633 | 2017-08-10 |
| 1831614841 | Courtney Sanders | Dietitian, Registered | 500 E Market St, Iowa City, IA 52245-2633 | 2017-08-10 |
| 1548714926 | Hailey Schminke | Dietitian, Registered | 500 E Market St, Iowa City, IA 52245 | 2016-08-15 |
| 1790138832 | Jennifer Clasen | Dietitian, Registered | 500 E Market St, Iowa City, IA 52245-2633 | 2016-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730699356 | Mary Beth Shapcott | Registered Nurse | 500 East Market St., Mercy Hospital Diabetes Education, Iowa City, IA 52245 | 2017-10-10 |
| 1366703167 | Elizabeth Bright | Occupational Therapist | 540 E. Jefferson Street., Ste.302, Iowa City, IA 52245 | 2012-06-07 |
| 1043518368 | Robert Brian Goffstein | Ophthalmology | 403 North 7th Ave, Iowa City, IA 52245 | 2011-03-10 |
| 1750682936 | Robert Alvin Blair | Dentist | 134 Broadmoor Lane, Iowa City, IA 52245 | 2010-11-04 |
| 1215167457 | Laura J Ericson | Occupational Therapist | 540 E Jefferson Street, Ste. 302, Iowa City, IA 52245 | 2009-07-22 |
| 1780818294 | Kathryn Leigh Bossen | Physical Therapist | 540 E. Jefferson Street, Ste. 302, Iowa City, IA 52245 | 2009-05-12 |
| 1073751095 | Jessica L Keeran | Physical Therapist | 2751 Northgate Dr. Ne, Iowa City, IA 52245 | 2009-01-29 |
| 1437330370 | Francine Mardarello Hunnicutt | Marriage & Family Therapist | 1610 East College St, Iowa City, IA 52245 | 2007-11-20 |
| 1659574853 | Joan Victoria Rinner | Marriage & Family Therapist | 121 University Services Building, University of Iowa, Iowa City, IA 52245 | 2007-06-06 |
| 1053529966 | Steve Bernt Hammerstrom | Chiropractor | 373 B Scott Court, Iowa City, IA 52245 | 2007-05-21 |
| Find all providers in zip 52245 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457715047 | Benjamin Rezny | Emergency Medicine | 200 Hawkins Dr Dept of Anesthesia, Iowa City, IA 52242-1009 | 2016-04-08 |
| 1407293236 | Austin Koch | Emergency Medicine | 200 Hawkins Drive, 1008 Rcp, Uihc - Emergency Medicine, Iowa City, IA 52242 | 2013-06-03 |
| 1821356015 | Brandon Charles Whalen | Emergency Medicine | 200 Hawkins Dr, 1008 Rcp, Iowa City, IA 52242 | 2012-04-25 |
| 1932141025 | Noli R Mendoza | Emergency Medicine | 3122 Juniper Dr, Iowa City, IA 52245-5425 | 2006-06-12 |
| 1144292087 | Daniel E Phillips | Emergency Medicine | 2816 Brookside Dr, Iowa City, IA 52245-5409 | 2006-02-04 |
| 1164425963 | Matthew T Spragg | Emergency Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-05-24 |
| 1205451192 | Stephen Lee Peery | Emergency Medicine | 200 Hawkins Dr, Department of Emergency Medicine, Iowa City, IA 52242-1009 | 2020-06-16 |
| 1023633526 | Edward Alexander Rekart | Emergency Medicine | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-10 |
| 1790309847 | Samuel Jacob Irving | Emergency Medicine | 200 Hawkins Drive, Dept of Emergency Medicine, Iowa City, IA 52242-1009 | 2020-06-04 |
| 1255954004 | Katherine Marie Briggie | Emergency Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-05-27 |
| Find all providers in IOWA CITY | ||||
Please comment or provide details below to improve the information on MERCY HOSPITAL, IOWA CITY, IOWA.
| 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.