CENTRAL IOWA HOSPITAL CORPORATION (NPI# 1770871824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770871824 |
| Entity Type | Organization |
| Organization Name | CENTRAL IOWA HOSPITAL CORPORATION |
| Other Organization Name | IOWA HEALTH EMERGENCY PHYSICIANS |
| Practice Address |
1200 Pleasant Street Des Moines IA 50309-1453 |
| Practice Telephone | 5152416213 |
| Practice Fax Number | 5152414366 |
| Mailing Telephone | 5152416213 |
| Mailing Fax Number | 5152414366 |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2019-03-19 |
| Authorized Official Name | MICHAEL J DEWERFF (CFO) |
| Authorized Official Telephone | 5152416507 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | IA | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1770871824 | 05 |
| Other Name | Type Code |
|---|---|
| Iowa Health Emergency Physicians | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457803876 | Central Iowa Hospital Corporation | Pharmacy | 3625 N Ankeny Blvd, Suite A, Ankeny, IA 50023-4610 | 2016-11-02 |
| 1497007710 | Central Iowa Hospital Corporation | Psychologist | 1206 Pleasant St., Des Moines, IA 50309-1453 | 2012-10-10 |
| 1598905762 | Central Iowa Hospital Corporation | General Acute Care Hospital | 1660 60th St, West Des Moines, IA 50266-7700 | 2009-03-02 |
| 1992737258 | Central Iowa Hospital Corporation | Obstetrics & Gynecology | 1440 Pleasant Street, Suite 1, Des Moines, IA 50314-1728 | 2006-07-07 |
| 1902857592 | Central Iowa Hospital Corporation | Internal Medicine | 1301 Pennsylvania Avenue, Suite 100, Des Moines, IA 50316-2367 | 2006-05-16 |
| 1891746434 | Central Iowa Hospital Corporation | Family Medicine | 1551 S 3rd St, Grimes, IA 50111-8861 | 2006-05-15 |
| 1962485136 | Central Iowa Hospital Corporation | Clinical Medical Laboratory | 3001 Se Convenience Blvd Unit 104, Ankeny, IA 50021-8503 | 2005-11-22 |
| 1487192795 | Central Iowa Hospital Corporation | Nurse Practitioner | 3714 Ingersoll Ave, Des Moines, IA 50312-3411 | 2017-02-07 |
| 1235676412 | Central Iowa Hospital Corporation | Clinical Nurse Specialist | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2017-01-25 |
| 1003352949 | Central Iowa Hospital Corporation | Pharmacy | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2017-01-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | CENTRAL IOWA HOSPITAL CORPORATION | 1200 Pleasant Street, Des Moines, IA 50309 |
| Street Address |
1200 PLEASANT STREET |
| City | DES MOINES |
| State | IA |
| Zip Code | 50309-1453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821058868 | Jill M Jasper | Pediatrics | 1200 Pleasant Street, Blank Children's Hospital, Des Moines, IA 50309 | 2006-03-24 |
| 1831724095 | Lindy Gasperi | Pharmacist | 1200 Pleasant Street, Department of Pharmacy, Des Moines, IA 50309-1406 | 2020-03-09 |
| 1205250628 | John Sheldahl | Physical Therapist | 1200 Pleasant Street, South 2 Room 236, Des Moines, IA 50309-1406 | 2014-02-05 |
| 1215223847 | Michelle M Ewest | Pediatrics | 1200 Pleasant Street, Blank Children's Hospital - Pediatric Emergency, Des Moines, IA 50309 | 2011-06-22 |
| 1881779684 | Michael R Line | Pediatrics | 1200 Pleasant Street, Blank Children's Hospital, Des Moines, IA 50309-1453 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126894 | Marie Danielle Leblanc | Surgery | Anna Blank Building, Level 2, Dept Pediatric Surgery, 1206 Pleasant Street, Des Moines, IA 50309 | 2020-05-27 |
| 1538710421 | Macy Mckendree | Social Worker | 918 Se 11th St., Des Moines, IA 50309 | 2019-09-23 |
| 1750938825 | Paradocs Psychological Services | Clinic/Center | 1400 Walnut St #110, Onyx Business, Des Moines, IA 50309 | 2019-08-22 |
| 1003315011 | Hyvacs, LLC | Durable Medical Equipment & Medical Supplies | 215 10th St Ste 110, Des Moines, IA 50309 | 2018-02-05 |
| 1770005746 | Jacob Michael Boyle | Chiropractor | 500 Sw 7th St Ste 205, Des Moines, IA 50309 | 2017-07-12 |
| 1831646140 | Innovative Transport Enterprise, LLC | Non-emergency Medical Transport (VAN) | 309 Court Ave, Ste 811, Des Moines, Ia, 50309, Ste 811, Des Moines, IA 50309 | 2016-09-02 |
| 1457807000 | Patricia Bularzik | Social Worker | 808 5th Avenue, Des Moines, IA 50309 | 2016-09-01 |
| 1396128492 | Sarah Lynn Cavan | Social Worker | 1301 Center, Eyerly Ball Community Mental Health Center, Des Moines, IA 50309 | 2015-07-07 |
| 1104204056 | Andrea Lynn Jones | Social Worker | 600 E Court Ste 200, Des Moines, IA 50309 | 2015-05-12 |
| 1811388937 | Matthew Zirretta | Physical Therapist | 1515 Linden Street, 1st Floor, Integrated Physical Therapy & Sports Medicine, Des Moines, IA 50309 | 2015-02-11 |
| Find all providers in zip 50309 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992795496 | Paul Henry Novak | Emergency Medicine | 6079 Ne 9th St, Des Moines, IA 50313-1531 | 2005-10-26 |
| 1407203037 | Todd Sexton | Emergency Medicine | 700 E University Ave, Des Moines, IA 50316-2302 | 2016-05-24 |
| 1043679699 | Chad William Becker | Emergency Medicine | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2016-02-10 |
| 1720472442 | Des Moines River Physicians, LLC | Emergency Medicine | 1111 6th Ave, Des Moines, IA 50314-2613 | 2015-03-19 |
| 1093114472 | Alyssa Drezdon | Emergency Medicine | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2014-08-21 |
| 1356756175 | Erik Adair | Emergency Medicine | 1200 Pleasant St, Des Moines, IA 50309-1453 | 2014-07-01 |
| 1962841338 | Karin Howe | Emergency Medicine | 1111 6th Ave, Des Moines, IA 50314-2613 | 2013-06-19 |
| 1750728309 | Luke Lowry | Emergency Medicine | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2013-05-22 |
| 1912340076 | Brittany D Jensen | Emergency Medicine | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2013-04-09 |
| 1346683539 | Chase Nicholas Deobald | Emergency Medicine | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2013-04-08 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50309 |
Please comment or provide details below to improve the information on CENTRAL IOWA HOSPITAL CORPORATION.
| 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.