MERCY PROFESSIONAL PRACTICE ASSOCIATES INC (NPI# 1528244746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528244746 |
| Entity Type | Organization |
| Organization Name | MERCY PROFESSIONAL PRACTICE ASSOCIATES INC |
| Other Organization Name | KATZMANN BREAST CENTER |
| Practice Address |
1601 Nw 114th St Suite 151 Clive IA 50325-7007 |
| Mailing Address |
Po Box 4925 Des Moines IA 50305-4925 |
| Practice Telephone | 5152227830 |
| Mailing Telephone | 5152227830 |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2010-11-30 |
| Authorized Official Name | DAVID H VELLINGA (PRESIDENT/CEO) |
| Authorized Official Telephone | 5152474278 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Katzmann Breast Center | Doing Business As Name - 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 |
| 1235377128 | Mercy Professional Practice Associates Inc | Clinic/Center | 1111 6th Ave, West 1, Des Moines, IA 50314-2613 | 2009-01-30 |
| 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 |
| Street Address |
1601 NW 114TH ST SUITE 151 |
| City | CLIVE |
| State | IA |
| Zip Code | 50325-7007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801890611 | Deborah Huber | Nurse Practitioner | 1601 Nw 114th St, Ste 342, Clive, IA 50325-7036 | 2005-06-09 |
| 1578049367 | Elizabeth Rachel Pedersen | Pharmacist | 1601 Nw 114th St, Clive, IA 50325-7007 | 2018-07-14 |
| 1689093551 | Andrea Reser | Physical Therapist | 1601 Nw 114th St, Suite 155, Clive, IA 50325-7007 | 2014-04-08 |
| 1346580735 | Mercy Clinics, Inc | Occupational Therapist | 1601 Nw 114th St, Clive, IA 50325-7007 | 2013-02-21 |
| 1942597315 | Serenity Women's Clinic | Obstetrics & Gynecology | 1601 Nw 114th St, Suite 334, Clive, IA 50325-7007 | 2011-07-06 |
| 1528388998 | Mercy Clinics, Inc | Internal Medicine | 1601 Nw 114th St, Suite 342, Clive, IA 50325-7036 | 2010-06-08 |
| 1689906448 | Kellie Vermett | Specialist/Technologist, Other | 1601 Nw 114th St, Suite 244, Clive, IA 50325-7007 | 2010-02-04 |
| 1538390810 | Janet Lebsack | Occupational Therapist | 1601 Nw 114th St, Suite 155, Clive, IA 50325-7046 | 2009-08-04 |
| 1285874362 | Farhoud Khosravi | Internal Medicine | 1601 Nw 114th St, Suite 342, Clive, IA 50325-7007 | 2009-03-02 |
| 1629229091 | Karen Kraemer | Audiologist | 1601 Nw 114th St, Suite 230, Clive, IA 50325-7007 | 2008-10-03 |
| Find all providers in the same location | ||||
| 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 |
| 1174792873 | The Iowa Clinic PC | Prosthetic/Orthotic Supplier | 12655 University Ave, Ste 160, Clive, IA 50325 | 2008-02-27 |
| 1164623393 | Melisa Coaker | Internal Medicine | 1275 Nw 128th St, Ste 200, Clive, IA 50325 | 2007-05-28 |
| Find all providers in zip 50325 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609968478 | Iowa Endoscopy Center, Inc. | Clinic/Center | 1378 Nw 124th St, Suite 100, Clive, IA 50325-8151 | 2006-09-29 |
| 1104933696 | West Lakes Surgery Center LLC | Clinic/Center | 12499 University Ave, Suite 100, Clive, IA 50325-8281 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467010736 | Mercy Surgery Center LLC | Clinic/Center | 1195 Boyson Rd Ste 3, Hiawatha, IA 52233-2214 | 2019-06-03 |
| 1649748708 | Ankeny Medical Park Surgery Center Lc | Clinic/Center | 3625 N Ankeny Blvd Ste J, Ankeny, IA 50023-4610 | 2018-11-07 |
| 1922514421 | Westown Ambulatory Surgery Center | Clinic/Center | 1300 37th St Ste 3, West Des Moines, IA 50266-1900 | 2017-12-19 |
| 1255500781 | Iowa City Ambulatory Surgical Center, LLC | Clinic/Center | 2963 Northgate Dr, Iowa City, IA 52245-9571 | 2008-02-28 |
| 1699856260 | Alegent Health - Mercy Hospital, Corning Iowa | Clinic/Center | 603 Rosary Dr, Corning, IA 50841-1683 | 2006-10-18 |
| 1083638647 | West Des Moines Ambulatory Surgical Center Inc | Clinic/Center | 2425 Westown Pkwy Ste 200, West Des Moines, IA 50266 | 2006-07-27 |
| 1902841398 | Mason City Ambulatory Surgery Center, LLC | Clinic/Center | 990 4th St Sw, Mason City, IA 50401-2861 | 2006-06-18 |
| 1881651206 | Gateway Surgery Center, L.L.C. | Clinic/Center | 841 Springdale Dr, Clinton, IA 52732-3579 | 2006-04-28 |
| 1639135346 | Surgery Centers of Des Moines Ltd | Clinic/Center | 717 Lyon St, Des Moines, IA 50309-5458 | 2006-04-21 |
| 1780651075 | Fox Eye Surgery, LLC | Clinic/Center | 1138 H Ave Ne, Cedar Rapids, IA 52402-4624 | 2006-03-05 |
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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.