CENTRAL IOWA HOSPITAL CORPORATION (NPI# 1194776955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194776955 |
| Entity Type | Organization |
| Organization Name | CENTRAL IOWA HOSPITAL CORPORATION |
| Other Organization Name | PENN AVENUE INTERNAL MEDICINE |
| Practice Address |
1201 Pennsylvania Ave Des Moines IA 50316-2339 |
| Mailing Address |
5409 Nw 88th St Suite 200 Johnston IA 50131-2949 |
| Practice Telephone | 5152661000 |
| Practice Fax Number | 5152661824 |
| Mailing Telephone | 5153625980 |
| Mailing Fax Number | 5153625985 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2008-05-21 |
| Authorized Official Name | MR. JOSEPH F. CORFITS JR. (CFO) |
| Authorized Official Telephone | 5152416507 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRAL IOWA HOSPITAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | RAILROAD MEDICARE GROUP | CI3009 | 01 |
| IA | 0227926 | 05 |
| Other Name | Type Code |
|---|---|
| Penn Avenue Internal Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457803876 | Central Iowa Hospital Corporation | Pharmacy | 3625 N Ankeny Blvd, Suite A, Ankeny, IA 50023-4610 | 2016-11-02 |
| 1497007710 | Central Iowa Hospital Corporation | Psychologist | 1206 Pleasant St., Des Moines, IA 50309-1453 | 2012-10-10 |
| 1598905762 | Central Iowa Hospital Corporation | General Acute Care Hospital | 1660 60th St, West Des Moines, IA 50266-7700 | 2009-03-02 |
| 1992737258 | Central Iowa Hospital Corporation | Obstetrics & Gynecology | 1440 Pleasant Street, Suite 1, Des Moines, IA 50314-1728 | 2006-07-07 |
| 1902857592 | Central Iowa Hospital Corporation | Internal Medicine | 1301 Pennsylvania Avenue, Suite 100, Des Moines, IA 50316-2367 | 2006-05-16 |
| 1891746434 | Central Iowa Hospital Corporation | Family Medicine | 1551 S 3rd St, Grimes, IA 50111-8861 | 2006-05-15 |
| 1962485136 | Central Iowa Hospital Corporation | Clinical Medical Laboratory | 3001 Se Convenience Blvd Unit 104, Ankeny, IA 50021-8503 | 2005-11-22 |
| 1487192795 | Central Iowa Hospital Corporation | Nurse Practitioner | 3714 Ingersoll Ave, Des Moines, IA 50312-3411 | 2017-02-07 |
| 1235676412 | Central Iowa Hospital Corporation | Clinical Nurse Specialist | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2017-01-25 |
| 1003352949 | Central Iowa Hospital Corporation | Pharmacy | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2017-01-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | CENTRAL IOWA HOSPITAL CORPORATION | 1200 Pleasant Street, Des Moines, IA 50309 |
| Street Address |
1201 PENNSYLVANIA AVE |
| City | DES MOINES |
| State | IA |
| Zip Code | 50316-2339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841251972 | Rebecca S Sidney | Internal Medicine | 1201 Pennsylvania Ave, Des Moines, IA 50316-2339 | 2006-03-29 |
| 1437718665 | Amber Courtney Schardt | Nurse Practitioner | 1201 Pennsylvania Ave, Des Moines, IA 50316-2339 | 2019-06-11 |
| 1588143192 | Christine K Hartman | Internal Medicine | 1201 Pennsylvania Ave, Des Moines, IA 50316-2339 | 2018-08-14 |
| 1477514420 | Gregory J Berry | Internal Medicine | 1201 Pennsylvania Ave, Des Moines, IA 50316-2339 | 2006-03-30 |
| 1134180235 | Gregory L Smith | Internal Medicine | 1201 Pennsylvania Ave, Des Moines, IA 50316-2339 | 2006-03-29 |
| 1518928530 | Janie C Hendricks | Internal Medicine | 1201 Pennsylvania Ave, Des Moines, IA 50316-2339 | 2006-03-29 |
| 1225099344 | John C Heffernan | Internal Medicine | 1201 Pennsylvania Ave, Des Moines, IA 50316-2339 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626320 | Restoration Behavioral Health Center, Inc. | Clinic/Center | 1235 Sampson Street, Des Moines, IA 50316 | 2020-10-12 |
| 1154928497 | Yeshua Reentry and Recovery Center Inc | Community Health Worker | 1235 Sampson St, Des Moines, IA 50316 | 2020-10-08 |
| 1639594484 | Tripti Kaul | Dentist | 1345 E. University Avenue, #302, Des Moines, IA 50316 | 2014-03-03 |
| 1184979023 | Ashley Marie Mundt | Physical Therapist | 710 Riverview Street, Des Moines, IA 50316 | 2012-07-17 |
| 1942562020 | Angela Maria Runkel | Nurse Practitioner | 1201 Penn Avenue, Penn Avenue Internal Medicine, Des Moines, IA 50316 | 2012-06-13 |
| 1821390121 | Recovercare LLC | Durable Medical Equipment & Medical Supplies | 2117 Dixon St, Des Moines, IA 50316 | 2010-11-19 |
| 1588838841 | Leenu Mishra | Psychiatry & Neurology | 700 East University Ave 3 West, Blank Childrens Psychiatry, Des Moines, IA 50316 | 2008-04-17 |
| 1477721686 | Kristin K Horning | Pharmacist | 840 East University Avenue, Des Moines, IA 50316 | 2008-02-11 |
| 1770695488 | Terrance O Kurtz | Internal Medicine | 2100 Dixon, Suite E Concentra Clinic, Des Moines, IA 50316 | 2006-08-31 |
| 1487281085 | Timothy Andrew Flynn | Behavioral Analyst | 1301 Pennsylvania Ave, Suite #305, Des Moines, IA 50316 | 2020-03-24 |
| Find all providers in zip 50316 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588226104 | Laura Sue Kersey | Internal Medicine | 1212 Pleasant St Ste 110, Des Moines, IA 50309-1410 | 2019-07-03 |
| 1669948568 | Parabolic Health Pllc | Internal Medicine | 19809 8th Ave S, Des Moines, WA 98148-2246 | 2018-10-17 |
| 1245764752 | Joel Fuchs | Internal Medicine | 3600 30th St # 451, Des Moines, IA 50310-5753 | 2017-04-12 |
| 1780066746 | Ashley Priaulx | Internal Medicine | 1415 Woodland Ave Ste 140, Des Moines, IA 50309-3203 | 2015-06-25 |
| 1306238605 | Greggory Stan Flint | Internal Medicine | 1215 Pleasant St Ste 400, Des Moines, IA 50309-1418 | 2015-02-23 |
| 1245632298 | Progenity Whole Health Inc. | Internal Medicine | 95 University Ave Ste 1, Des Moines, IA 50314-3120 | 2014-09-22 |
| 1700147378 | Chan H Park | Internal Medicine | 22226 Cliff Ave S, #304, Des Moines, WA 98198-4619 | 2012-05-30 |
| 1417214321 | Leah Jeanine Brandon | Internal Medicine | 330 Laurel St Ste 2100, Des Moines, IA 50314-3068 | 2012-04-16 |
| 1417244542 | Rossana M Rosa Espinoza | Internal Medicine | 1221 Pleasant St Ste 300, Des Moines, IA 50309-1426 | 2011-07-10 |
| 1083847214 | Mark David Ravreby | Internal Medicine | 3663 Grand Ave, #204, Des Moines, IA 50312 | 2009-09-04 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50316 |
Please comment or provide details below to improve the information on CENTRAL IOWA HOSPITAL CORPORATION.
| 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.