MAUREEN TACKE


Address: 250 Laurel St, Des Moines, IA 50314-3024
Phone: 5156434610

MAUREEN TACKE (NPI# 1841454659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841454659
Entity Type Individual
Full Name MAUREEN TACKE
Credential DO
Practice Address 250 Laurel St
Des Moines
IA 50314-3024
Mailing Address 9943 Hickman Rd
Suite 105
Urbandale
IA 50322-5304
Practice Telephone 5156434610
Practice Fax Number 5156434662
Mailing Telephone 5152481447
Mailing Fax Number 5152481440
Enumeration Date 2008-07-11
Last Update Date 2014-01-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 4052 IA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program R8456 IA Student, Health Care

Office Location

Street Address 250 LAUREL ST
City DES MOINES
State IA
Zip Code 50314-3024

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508825233 Sharon Bertroche Family Medicine 250 Laurel St, Des Moines, IA 50314-3024 2006-03-21
1972929263 Mercy Clinics, Inc Family Medicine 250 Laurel St, Des Moines, IA 50314-3024 2014-03-11
1316379845 Primary Health Care, Inc. Clinic/Center 250 Laurel St, Des Moines, IA 50314-3024 2013-08-07
1215377684 Bulland Zaman Family Medicine 250 Laurel St, Des Moines, IA 50314-3024 2013-07-01
1467890988 Kristin Gisselman Family Medicine 250 Laurel St, Des Moines, IA 50314-3024 2013-06-06
1275875502 Catholic Health Initiatives - Iowa Corp Nurse Practitioner 250 Laurel St, Des Moines, IA 50314-3024 2013-03-25
1881959971 Devi Dunker Family Medicine 250 Laurel St, Des Moines, IA 50314-3024 2012-07-05
1811212202 Trevor Lynn Bond Family Medicine 250 Laurel St, Des Moines, IA 50314-3024 2010-03-29
1205068046 Hong Lin Student in an Organized Health Care Education/Training Program 250 Laurel St, Des Moines, IA 50314-3024 2009-08-12
1780813808 Nader Sam Student in an Organized Health Care Education/Training Program 250 Laurel St, Des Moines, IA 50314-3024 2009-07-10
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851861587 Clayton Health Systems, Inc Family Medicine 351 Francis Avenue, Des Moines, NM 88418 2018-11-26
1982043014 Angela De Hamer Family Medicine 1111 6th Ave Fl 4, Des Moines, IA 50314-2610 2013-06-21
1174962500 Paul Lyndon Nurmi Family Medicine 6601 Sw Ninth Street, Des Moines, IA 50315-6138 2013-06-19
1356780647 Jenna L W Ridlen Family Medicine 1350 Des Moines Street, Suite 110, Des Moines, IA 50309-5507 2013-06-19
1639461007 Gwen George Luepke Family Medicine 2725 Merle Hay Rd, Des Moines, IA 50310-1134 2011-05-04
1083926414 Steven R Morris Family Medicine 840 E University Avenue, Des Moines, IA 50316-2304 2010-07-14
1922258474 Dennis Lee Anderson Family Medicine 5221 Village Run Ave, Unit 1602, Des Moines, IA 50317-4979 2008-09-21
1700068517 Planned Parenthood of The Heartland Family Medicine 123 Clark Street, Des Moines, IA 50314 2007-12-04
1760681597 Jose G Aguilar Family Medicine 1350 Des Moines St., Ste 110, Des Moines, IA 50309-5526 2007-07-12
1164646691 Sara Esther Sutton Family Medicine 3219 Sw 39th St, Des Moines, IA 50321-1304 2007-04-13
Find all providers in DES MOINES

Competitor

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City DES MOINES
Zip Code 50314

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Dataset Information

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.

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