HEARTLAND PLASTIC AND RECONSTRUCTIVE SURGERY P.C. (NPI# 1629104518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629104518 |
| Entity Type | Organization |
| Organization Name | HEARTLAND PLASTIC AND RECONSTRUCTIVE SURGERY P.C. |
| Practice Address |
10611 Hickman Rd Des Moines IA 50322-3731 |
| Practice Telephone | 5152542265 |
| Practice Fax Number | 5152542272 |
| Mailing Telephone | 5152542265 |
| Mailing Fax Number | 5152542272 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | EUGENE J CHERNY (PRESIDENT) |
| Authorized Official Telephone | 5152542265 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 26965 | IA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0423319 | 05 |
| Street Address |
10611 HICKMAN RD |
| City | DES MOINES |
| State | IA |
| Zip Code | 50322-3731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316341332 | Eastern Iowa Therapeutics PC | Occupational Therapist | 10611 Hickman Rd, Des Moines, IA 50322-3731 | 2014-10-20 |
| 1285882456 | Dyann M Edwards | Nurse Practitioner | 10611 Hickman Rd, Des Moines, IA 50322-3731 | 2008-08-30 |
| 1376679357 | Eugene J Cherny | Specialist | 10611 Hickman Rd, Des Moines, IA 50322-3731 | 2007-02-26 |
| 1396871372 | Pamela Sue Banyas | Physician Assistant | 10611 Hickman Rd, Des Moines, IA 50322-3731 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598278434 | Mary Melissa Buchanan | Hospice Care, Community Based | 6101 Goodman Dr, Urbandale, IA 50322 | 2017-11-14 |
| 1932629110 | Kelsey Coaldrake | Speech-Language Pathologist | 2570 106th St Ste E, Urbandale, IA 50322 | 2017-06-20 |
| 1861940207 | Jessalynn Bradley | Home Health Aide | 8704 Meredith Dr., Apt. 208, Urbandale, IA 50322 | 2016-09-14 |
| 1083086862 | Iowa Dermatology Clinic, Plc | Dermatology | 3729 86th St, Urbandale, IA 50322 | 2015-10-20 |
| 1598134686 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 14201 Hickman Rd., Urbandale, IA 50322 | 2015-09-18 |
| 1114303484 | Monique I Elgersma | Marriage & Family Therapist | 3829 71st St Ste A, Urbandale, IA 50322 | 2015-08-10 |
| 1821437922 | Maggie Lynn Leavens | Physical Therapy Assistant | 4614 84th Street, Urbandale, IA 50322 | 2013-06-21 |
| 1225378581 | Nicholas David Burton Lantz | Physical Therapy Assistant | 4614 Nw 84th Street, Urbandale, IA 50322 | 2013-02-25 |
| 1750645826 | Joseph Horn Thompson | Pharmacist | 9616 Quail Ridge, Urbandale, IA 50322 | 2012-07-03 |
| 1437481827 | Community Support Advocates, LLC | Social Worker | 6000 Aurora Avenue, Suite B, Des Moines, IA 50322 | 2010-02-10 |
| Find all providers in zip 50322 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316394489 | Alex Blaze | Specialist | 2311 S Kent Des Moines Rd Apt A103, Des Moines, WA 98198-7083 | 2016-05-19 |
| 1245494400 | Mary Van De Ven | Specialist | 23619 14th Ave S, Des Moines, WA 98198-7402 | 2008-07-16 |
| 1003032681 | Amber Marie Felix | Specialist | 22226 6th Ave S Ste 101, Des Moines, WA 98198-6246 | 2007-04-18 |
| 1215071774 | Erin Mischel Everitt | Specialist | 22760 Marine View Dr S Ste 101, Des Moines, WA 98198-8408 | 2007-02-17 |
| 1780754044 | Janis Ann Jacobson | Specialist | 22760 Marine View Dr S, Des Moines, WA 98198-8408 | 2006-11-08 |
| 1285601641 | Jerusa Kamala | Specialist | 1250 9th Street, Des Moines, IA 50316-2765 | 2006-03-03 |
| 1457357642 | Roy Alden Hart | Specialist | 1801 Hickman Road, Broadlawns Medical Center, Des Moines, IA 50314 | 2005-06-22 |
| 1912901257 | Marc Alan Ewers | Specialist | 1301 Penn Ave, Ste 406, Des Moines, IA 50316-2350 | 2005-06-01 |
| 1598382830 | Patty Keeley | Specialist | 1409 Clark St, Des Moines, IA 50314-1916 | 2020-07-02 |
| 1609318138 | Megan Frizzell | Specialist | 450 Laurel St, Des Moines, IA 50314-3045 | 2016-11-15 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50322 |
Please comment or provide details below to improve the information on HEARTLAND PLASTIC AND RECONSTRUCTIVE SURGERY P.C..
| 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.