PATHOLOGY ASSOCIATES OF CENTRAL IOWA, PLC (NPI# 1639107295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639107295 |
| Entity Type | Organization |
| Organization Name | PATHOLOGY ASSOCIATES OF CENTRAL IOWA, PLC |
| Practice Address |
1111 6th Ave Mercy Medical Center - Pathology Des Moines IA 50314-2613 |
| Mailing Address |
2555 106th St Urbandale IA 50322-3766 |
| Practice Telephone | 5152473115 |
| Mailing Telephone | 5153347524 |
| Mailing Fax Number | 5153347528 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2015-03-31 |
| Authorized Official Name | DALE F. ANDRES (CHIEF PATHOLOGIST) |
| Authorized Official Telephone | 5152473115 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
NA | IA | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | PATHOLOGY ASSOCIATES OF CENTRAL IOWA, PLC. | 1111 6th Ave, Des Moines, IA 50314 |
| Street Address |
1111 6TH AVE MERCY MEDICAL CENTER - PATHOLOGY |
| 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 |
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| 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 | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447485966 | Joshua Benjamin Cook | Pathology | 1212 Pleasant St., Room Ll3, Des Moines, IA 50309-0000 | 2009-05-28 |
| 1629158688 | Sara M Shunkwiler | Pathology | 431 E Locust St, Des Moines, IA 50309-1909 | 2006-10-16 |
| 1467563619 | Herman Henry Graefe | Pathology | 1212 Pleasant #ll3, Des Moines, IA 50309-1414 | 2006-08-31 |
| 1679684922 | Kathleen Kelley Hansen | Pathology | 1212 Pleasant # Ll3, Des Moines, IA 50309-1414 | 2006-08-31 |
| 1639282650 | Harrison W. Pratt II | Pathology | 2231 Nw 108th St, Des Moines, IA 50325-3729 | 2006-08-16 |
| 1457805053 | Jonathan Thompson | Pathology | 1111 6th Ave, Pathology Department, Des Moines, IA 50314-2613 | 2016-08-11 |
| 1255657680 | Jacob Edward Sramek | Pathology | 1212 Pleasant St, Suite Ll3, Des Moines, IA 50309-1414 | 2010-04-09 |
| 1700049194 | Joseph Patrick Eaton | Pathology | 1111 6th Ave, Des Moines, IA 50314-2613 | 2008-07-07 |
| 1073705760 | Carolyn Su-ying Pease | Pathology | 1111 6th Avenue, Mercy Medical Center, Des Moines, IA 50314 | 2007-08-16 |
| 1528260650 | Sara B. Kilborn | Pathology | 1212 Pleasant, Suite #ll3, Des Moines, IA 50309-1414 | 2007-06-01 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50314 |
Please comment or provide details below to improve the information on PATHOLOGY ASSOCIATES OF CENTRAL IOWA, PLC.
| 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.