THE IOWA CLINIC PC (NPI# 1174792873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174792873 |
| Entity Type | Organization |
| Organization Name | THE IOWA CLINIC PC |
| Other Organization Name | THE IOWA CLINIC ORTHOTICS & PROSTHETICS |
| Practice Address |
12655 University Ave Ste 160 Clive IA 50325 |
| Mailing Address |
7147 Vista Dr Ste 150 West Des Moines IA 50266-9313 |
| Practice Telephone | 5158759425 |
| Practice Fax Number | 5158759426 |
| Mailing Telephone | 5158759925 |
| Mailing Fax Number | 5158759923 |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | MR. CHARLES EDWARD BROWN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5158759100 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | NONE | IA | Suppliers |
| Other Name | Type Code |
|---|---|
| The Iowa Clinic Orthotics & Prosthetics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346233178 | The Iowa Clinic PC | Internal Medicine | 5950 University Ave, Ste 151, West Des Moines, IA 50266-8234 | 2005-08-26 |
| Street Address |
12655 UNIVERSITY AVE STE 160 |
| City | CLIVE |
| State | IA |
| Zip Code | 50325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780062810 | Clark and Associates, Inc | Prosthetic/Orthotic Supplier | 12655 University Ave, #160, Clive, IA 50325-8221 | 2015-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449446 | Clive Behavioral Health LLC | Psychiatric Hospital | 1500 Nw 114th St, Clive, IA 50325 | 2020-05-21 |
| 1609426519 | Caroline Silva Pereira Lara Ribeiro | Occupational Therapist | 15500 Boston Parkway, Appt 110, Clive, IA 50325 | 2019-09-13 |
| 1487203873 | Karen Turnure | Technician | 4524 Nw 16th St, Clive, IA 50325 | 2019-09-09 |
| 1659920320 | Phs Walnut Ridge LLC | Skilled Nursing Facility | 1703 Campus Drive, Clive, IA 50325 | 2019-09-05 |
| 1700288834 | Lindsey White | Chiropractor | 12931 University Ave, Suite 103, Clive, IA 50325 | 2014-09-19 |
| 1811337389 | Metro West Learning Center, LLC | Counselor | 13300 Hickman Rd Ste 110, Clive, IA 50325 | 2013-06-28 |
| 1700110343 | Rodolfo Mallorca Legislador Sr. | Family Medicine | 1665 Nw 97th St., Clive, IA 50325 | 2009-09-30 |
| 1891961900 | Erin Ducharme | Dermatology | 16349 Sheridan Drive, Suite 101, Clive, IA 50325 | 2008-05-08 |
| 1164623393 | Melisa Coaker | Internal Medicine | 1275 Nw 128th St, Ste 200, Clive, IA 50325 | 2007-05-28 |
| 1558582536 | Sheila D. Keene | Counselor | 1350 Nothwest 138th Strreet, Suite 200, Des Moines, IA 50325 | 2007-05-01 |
| Find all providers in zip 50325 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790988202 | Spectrum Prosthetics & Orthotics, Inc | Prosthetic/Orthotic Supplier | 1349 Nw 121st St Ste 300, Clive, IA 50325-8145 | 2007-06-11 |
| 1013987502 | American Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 1250 Nw 142nd St, Suite 100, Clive, IA 50325-8346 | 2006-01-25 |
| 1780062810 | Clark and Associates, Inc | Prosthetic/Orthotic Supplier | 12655 University Ave, #160, Clive, IA 50325-8221 | 2015-05-08 |
| 1659549186 | Chladek Orthotic & Prosthetic Assoc., Inc. | Prosthetic/Orthotic Supplier | 12871 University Ave, Suite 120, Clive, IA 50325-8255 | 2008-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447723697 | Clark and Associates, Inc | Prosthetic/Orthotic Supplier | 3385 Dexter Ct Ste 107, Davenport, IA 52807-3494 | 2019-01-09 |
| 1851767735 | Chladek O & P Inc | Prosthetic/Orthotic Supplier | 3007 86th Street, Urbandale, IA 50322-4001 | 2015-08-14 |
| 1245632686 | American Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 215 Duff Ave, Ames, IA 50010-6637 | 2014-09-17 |
| 1073924155 | Eyeprint Prosthetics | Prosthetic/Orthotic Supplier | 2221 Oak Rd Ne, North Liberty, IA 52317-9365 | 2014-05-12 |
| 1336561737 | Patrick Lavern Holt | Prosthetic/Orthotic Supplier | 1454 N Federal Ave, Mason City, IA 50401-1268 | 2014-01-20 |
| 1396177721 | Chi National Home Care | Prosthetic/Orthotic Supplier | 401 6th St, Suite A, Corning, IA 50841-1613 | 2013-08-08 |
| 1699107029 | Chi National Home Care | Prosthetic/Orthotic Supplier | 405 S Fremont St, Shenandoah, IA 51601-1505 | 2013-08-08 |
| 1902159858 | Shoe Mate | Prosthetic/Orthotic Supplier | 1011 88th St, West Des Moines, IA 50266-5857 | 2012-10-16 |
| 1548494743 | Heartland Laboratories Inc | Prosthetic/Orthotic Supplier | 4025 University Ave, Waterloo, IA 50701-5639 | 2009-05-04 |
| 1912184433 | Clark and Associates, Inc. | Prosthetic/Orthotic Supplier | 634 S Monroe Ave, Mason City, IA 50401-5041 | 2008-01-28 |
| Find all providers with the same taxonomy | ||||
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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.