MERCY PHYSICIAN ASSOCIATES, INC (NPI# 1417153941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417153941 |
| Entity Type | Organization |
| Organization Name | MERCY PHYSICIAN ASSOCIATES, INC |
| Other Organization Name | MERCY CARE VERNON VILLAGE |
| Practice Address |
3933 Mount Vernon Rd Se Cedar Rapids IA 52403-3869 |
| Mailing Address |
Po Box 1824 Cedar Rapids IA 52406-1824 |
| Practice Telephone | 3193694798 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2016-07-12 |
| Authorized Official Name | ANNETTE J STANTON (SR DIRECTOR) |
| Authorized Official Telephone | 3193694512 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0148098 | 05 | |
| IA | 0792986 | 05 |
| Other Name | Type Code |
|---|---|
| Mercy Care Vernon Village | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619422748 | Mercy Physician Associates, Inc | Family Medicine | 777 76th Ave Dr Sw, Cedar Rapids, IA 52404 | 2016-08-18 |
| 1255886388 | Mercy Physician Associates, Inc | Internal Medicine | 777 76th Avenue Dr Sw, Cedar Rapids, IA 52404-7006 | 2016-08-18 |
| 1174720940 | Mercy Physician Associates, Inc | Family Medicine | 310 Highway 1 Se, Mt. Vernon, IA 52314 | 2007-06-27 |
| 1164629937 | Mercy Physician Associates, Inc | Family Medicine | 1765 Lininger Lane, North Liberty, IA 52317 | 2007-06-27 |
| 1497952170 | Mercy Physician Associates, Inc | Nurse Practitioner | 600 7th St Se Ste 100, Cedar Rapids, IA 52401-2120 | 2007-06-27 |
| 1962807784 | Mercy Physician Associates, Inc | Internal Medicine | 5264 Council St Ne, Suite 800, Cedar Rapids, IA 52402-2471 | 2014-10-23 |
| 1265784326 | Mercy Physician Associates, Inc | Family Medicine | 788 8th Ave Se, Ste 200, Cedar Rapids, IA 52401-2107 | 2012-10-12 |
| 1154693166 | Mercy Physician Associates, Inc | Family Medicine | 3701 Katz Dr, Marion, IA 52302-3871 | 2012-02-07 |
| 1306118310 | Mercy Physician Associates, Inc | Family Medicine | 1765 Lininger Ln, North Liberty, IA 52317-2316 | 2012-02-07 |
| 1699057232 | Mercy Physician Associates, Inc | Preventive Medicine | 5264 Council St Ne, Suite 700, Cedar Rapids, IA 52402-2471 | 2011-09-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | MERCY PHYSICIAN ASSOCIATES, INC. | 701 10th St Se, Cedar Rapids, IA 52403 |
| Street Address |
3933 MOUNT VERNON RD SE |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52403-3869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467423111 | Barbara A Cree | Physician Assistant | 3933 Mount Vernon Rd Se, Cedar Rapids, IA 52403-3869 | 2006-01-31 |
| 1811409006 | Robert Melvin Lancaster | Nurse Practitioner | 3933 Mount Vernon Rd Se, Cedar Rapids, IA 52403-3869 | 2017-10-29 |
| 1114995230 | Thomas Schroeder | Family Medicine | 3933 Mount Vernon Rd Se, Cedar Rapids, IA 52403-3869 | 2006-03-14 |
| 1407824725 | Roxanne Dunn | Family Medicine | 3933 Mount Vernon Rd Se, Cedar Rapids, IA 52403-3869 | 2006-03-11 |
| 1861460495 | Jason Booth | Family Medicine | 3933 Mount Vernon Rd Se, Cedar Rapids, IA 52403-3869 | 2006-03-09 |
| 1740258235 | Mark Hogenson | Family Medicine | 3933 Mount Vernon Rd Se, Cedar Rapids, IA 52403-3869 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093242083 | Eric Burton | Social Worker | 1535 1st Ave Se., Cedar Rapids Va Cboc, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1619404613 | Dylan Roberts Streb | Family Medicine | Eastern Iowa Health Center, 1201 Third Avenue Se, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1760870851 | Forefront Dermatology, S.c. | Dermatology | 202 10th Street, Sw, Suite 290, Cedar Rapids, IA 52403 | 2014-12-26 |
| 1801292883 | Laura Pelechek | Marriage & Family Therapist | 1744 2nd Ave Se, Cedar Rapids, IA 52403 | 2014-11-18 |
| 1306090147 | John Daniel Schuchmann | Anesthesiology | 3629 Random Road Se, Cedar Rapids, IA 52403 | 2008-11-06 |
| 1851564157 | Cedar Rapids Medical Education Foundation | Family Medicine | 1260 Second Avenue S.e., Cedar Rapids, IA 52403 | 2008-04-08 |
| 1093866071 | Mcld Corporation | Durable Medical Equipment & Medical Supplies | 207 2nd Avenue Se Ste A, Cedar Rapids, IA 52403 | 2007-01-16 |
| 1154483980 | James P Schuller | Dentist | 1000 42nd St Se, 1000 Professional Centre Suite B, Cedar Rapids, IA 52403 | 2006-12-15 |
| 1477640183 | C R Iv Service Inc | Home Health | 402 10th St, Ste 700 Carepro Home Health, Cedar Rapids, IA 52403 | 2006-10-06 |
| 1104919638 | C R Iv Service Inc | Durable Medical Equipment & Medical Supplies | 402 10th Street Se, Suite 700, Cedar Rapids, IA 52403 | 2006-10-02 |
| Find all providers in zip 52403 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619404613 | Dylan Roberts Streb | Family Medicine | Eastern Iowa Health Center, 1201 Third Avenue Se, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1619422748 | Mercy Physician Associates, Inc | Family Medicine | 777 76th Ave Dr Sw, Cedar Rapids, IA 52404 | 2016-08-18 |
| 1295967677 | Katherine Joanne Alatorre | Family Medicine | 4325 Williams Blvd Sw, Cedar Rapids, IA 52404-3436 | 2009-08-18 |
| 1649438383 | Qadnana Atif Anwar | Family Medicine | 4325 Williamsa Blvd, Cedar Rapids, IA 52404 | 2008-05-29 |
| 1851564157 | Cedar Rapids Medical Education Foundation | Family Medicine | 1260 Second Avenue S.e., Cedar Rapids, IA 52403 | 2008-04-08 |
| 1326260399 | Robert Lynn Swaney | Family Medicine | 947 14th St Se, Cedar Rapids, IA 52401-2610 | 2007-05-02 |
| 1467504506 | Jami A Maxson | Family Medicine | 2815 Edgewood Road S.w., Cedar Rapids, IA 52404 | 2007-01-17 |
| 1649359035 | Nancy M Angenend | Family Medicine | 500 8th Ave Se, Cedar Rapids, IA 52401-2134 | 2006-11-04 |
| 1104912765 | Marian L Barnes | Family Medicine | 3835 Cottage Grove Avenue Se, Cedar Rapids, IA 52403-2124 | 2006-10-04 |
| 1699880138 | Affiliates of Family Practice of Cedar Rapids | Family Medicine | 1030 5th Avenue Se, Suite 1700, Cedar Rapids, IA 52403 | 2006-08-21 |
| Find all providers in CEDAR RAPIDS | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52403 |
Please comment or provide details below to improve the information on MERCY PHYSICIAN ASSOCIATES, INC.
| 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.