MERCY PROFESSIONAL PRACTICE ASSOCIATES INC (NPI# 1235377128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235377128 |
| Entity Type | Organization |
| Organization Name | MERCY PROFESSIONAL PRACTICE ASSOCIATES INC |
| Other Organization Name | MERCY OSTOMY WOUND CLINIC |
| Practice Address |
1111 6th Ave West 1 Des Moines IA 50314-2613 |
| Mailing Address |
Po Box 4925 Des Moines IA 50305-4925 |
| Practice Telephone | 5156430850 |
| Mailing Telephone | 5156430850 |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-10-07 |
| Authorized Official Name | REBECCA LENZ (DIRECTOR OF BILLING) |
| Authorized Official Telephone | 5156438727 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mercy Ostomy Wound Clinic | Other Name - Individual/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 |
| 1053555920 | Mercy Professional Practice Associates Inc | Neurological Surgery | 1111 6th Ave, Level B1, Des Moines, IA 50314-2613 | 2009-04-23 |
| 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 WEST 1 |
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417094541 | Catholic Health Initiatives Iowa Corp | Clinic/Center | 1111 6th Ave, West 1, Des Moines, IA 50314-2613 | 2007-01-30 |
| 1215959481 | Mercy Professional Practice Associates, Inc. | Clinic/Center | 411 Laurel St, Suite 3262, Des Moines, IA 50314-3017 | 2006-07-24 |
| 1942226550 | Mercy Clinics Inc | Clinic/Center | 411 Laurel St Ste A120, Des Moines, IA 50314-3027 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523095 | Womens Care Specialists PC | Clinic/Center | 4480 Utica Ridge Rd Ste 140, Bettendorf, IA 52722-1637 | 2020-03-19 |
| 1356846414 | Iowa Dermatology Clinic Plc | Clinic/Center | 3053 8th Street, Suite 200, Altoona, IA 50009 | 2018-03-29 |
| 1740671387 | True Lifestyle Medicine Clinic, LLC | Clinic/Center | 2320 Windsor Ct, Davenport, IA 52807-1438 | 2015-02-17 |
| 1225462260 | Mercy Clinics, Inc | Clinic/Center | 1601 Nw 114th St Ste 240, Clive, IA 50325-7036 | 2013-08-27 |
| 1336408640 | Healthsource of Iowa City, PC | Clinic/Center | 960 S 1st Ave, Iowa City, IA 52245-5210 | 2012-05-07 |
| 1790069243 | Infectious Disease Physicians of Iowa City | Clinic/Center | 540 E Jefferson St Ste 306, Iowa City, IA 52245-2479 | 2011-10-03 |
| 1558520817 | Womens Care Specialists PC | Clinic/Center | 507 S Fourth St, Clinton, IA 52732-0000 | 2008-06-03 |
| 1790950590 | Ball Clinic of Chiropractic P.l.c. | Clinic/Center | 622 N Linn Ave, New Hampton, IA 50659-1236 | 2008-04-23 |
| 1770555971 | Moran Eye Center PC | Clinic/Center | 2001 Hamilton Blvd, Ste D, Sioux City, IA 51104 | 2006-02-02 |
| 1720081524 | Midwest Radiology and Imaging PC | Clinic/Center | 1200 1st Ave E, Spencer, IA 51301-4342 | 2005-05-24 |
| Find all providers with the same taxonomy | ||||
| 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.