BROADLAWNS MEDICAL CENTER (NPI# 1235541434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235541434 |
| Entity Type | Organization |
| Organization Name | BROADLAWNS MEDICAL CENTER |
| Practice Address |
1801 Hickman Rd Des Moines IA 50314-1505 |
| Practice Telephone | 5152822296 |
| Practice Fax Number | 5152827856 |
| Mailing Telephone | 5152822296 |
| Mailing Fax Number | 5152827856 |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-05-22 |
| Authorized Official Name | MR. KARL VILUMS (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5152822296 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 770032H | IA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609951144 | Broadlawns Medical Center | Community Based Residential Treatment Facility, Mental Illness | 1812 Oakland Ave, Des Moines, IA 50314-3329 | 2006-10-25 |
| 1336224872 | Broadlawns Medical Center | Community Based Residential Treatment Facility, Mental Illness | 1730 Arlington Ave, Des Moines, IA 50314-3311 | 2006-10-25 |
| 1578002382 | Broadlawns Medical Center | Psychiatric Unit | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2017-02-14 |
| 1467850727 | Broadlawns Medical Center | Clinic/Center | 507 14th St, Dallas Center, IA 50063-7738 | 2014-12-18 |
| 1063795672 | Broadlawns Medical Center | Psychiatric Hospital | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2011-09-21 |
| 1669784104 | Broadlawns Medical Center | Community/Behavioral Health | 1801 Hickman Rd, Des Moines, IA 50314 | 2010-07-13 |
| 1265683718 | Broadlawns Medical Center | Nurse Practitioner | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2008-10-02 |
| 1962662379 | Broadlawns Medical Center | Psychologist | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2008-06-10 |
| 1013197060 | Broadlawns Medical Center | Pharmacy | 1801 Hickman Road, Des Moines, IA 50314 | 2007-11-07 |
| 1619184686 | Broadlawns Medical Center | Community/Behavioral Health | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2007-05-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | BROADLAWNS MEDICAL CENTER FOUNDATION | Broadlawns Medical Center, 1801 Hickman Road, Des Moines, IA 50314 |
| Iowa Business Entities | BROADLAWNS MEDICAL CENTER GUILD | 1801 Hickman Road, Des Moines, IA 50314 |
| Street Address |
1801 HICKMAN RD |
| City | DES MOINES |
| State | IA |
| Zip Code | 50314-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235136581 | Dapka Nicholas Baccam | Surgery | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2005-07-01 |
| 1154920221 | Valerie Meyer | Pharmacist | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2020-10-20 |
| 1437766995 | Sue Ann Mckernan | Nurse Practitioner | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2020-09-29 |
| 1811500747 | Nadia Hashemi-toroghi | Nurse Practitioner | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2020-08-29 |
| 1265043087 | Andrew Stessman | Pharmacist | 1801 Hickman Rd, Des Moines, IA 50314-1597 | 2020-08-14 |
| 1801405832 | Sarah Hiemer | Nurse Practitioner | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2020-07-27 |
| 1306461496 | Paul Schroeder | Psychiatry & Neurology | 1801 Hickman Rd, Des Moines, IA 50314-1597 | 2020-06-15 |
| 1548885791 | Walter Mogeni | Psychiatry & Neurology | 1801 Hickman Rd, Des Moines, IA 50314-1597 | 2020-06-13 |
| 1811512064 | Adrianna Denise Mitchell | Psychiatry & Neurology | 1801 Hickman Rd, Des Moines, IA 50314-1597 | 2020-06-13 |
| 1639794803 | Thomas David Biederman | Family Medicine | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2020-06-12 |
| 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 | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659705051 | Glasses Connect Inc. | Eyewear Supplier (Equipment, not the service) | 5801 Se 24th St Unit 75, Des Moines, IA 50320-4704 | 2013-08-21 |
| 1760613210 | Eyemart Express, Ltd. | Eyewear Supplier (Equipment, not the service) | 4841 Se 14th St, Des Moines, IA 50320-1616 | 2009-07-31 |
| 1952510703 | Real Optics Inc | Eyewear Supplier (Equipment, not the service) | 5112 Se 14th St, Des Moines, IA 50320-1608 | 2007-05-21 |
| 1700095551 | Real Optics Inc | Eyewear Supplier (Equipment, not the service) | 100 Merle Hay Road, Merle Hay Mall, Des Moines, IA 50310 | 2007-05-21 |
| 1417166372 | Real Optics Inc | Eyewear Supplier (Equipment, not the service) | 3839 Merle Hay Rd Ste 110, Des Moines, IA 50310-1373 | 2007-05-21 |
| 1366659336 | Real Optics Inc | Eyewear Supplier (Equipment, not the service) | 555 Walnut #204, Kaleidoscope Mall, Des Moines, IA 50309 | 2007-05-17 |
| 1437205663 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 6351 S.e. 14th, Des Moines, IA 50320 | 2007-01-29 |
| 1982758686 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3800 Merle Hay Rd Ste 406, Des Moines, IA 50310-1303 | 2007-01-22 |
| 1871659003 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 4000 Merle Hay Rd, Merle Hay Mall, Des Moines, IA 50310-1333 | 2006-12-30 |
| 1386700631 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1111 E Army Post, Southridge Mall, Des Moines, IA 50315-5970 | 2006-12-29 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50314 |
Please comment or provide details below to improve the information on BROADLAWNS MEDICAL CENTER.
| 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.