GRAND VIEW UNIVERSITY (NPI# 1861908089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861908089 |
| Entity Type | Organization |
| Organization Name | GRAND VIEW UNIVERSITY |
| Other Organization Name | GRAND VIEW HEALTH SERVICES |
| Practice Address |
1200 Grandview Ave Johnson Wellness Center Des Moine IA 50316-1529 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 9723674845 |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2017-12-26 |
| Authorized Official Name | MOUZON BASS III (AGENT) |
| Authorized Official Telephone | 9723674845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
23873 | IA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Grand View Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245745074 | Grand View University | Orthopaedic Surgery | 1200 Grandview Ave, Des Moines, IA 50316-1529 | 2017-12-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GRAND VIEW UNIVERSITY | 1200 Grandview Ave, Des Moines, IA 50316-1529 |
| Street Address |
1200 GRANDVIEW AVE JOHNSON WELLNESS CENTER |
| City | DES MOINE |
| State | IA |
| Zip Code | 50316-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626320 | Restoration Behavioral Health Center, Inc. | Clinic/Center | 1235 Sampson Street, Des Moines, IA 50316 | 2020-10-12 |
| 1154928497 | Yeshua Reentry and Recovery Center Inc | Community Health Worker | 1235 Sampson St, Des Moines, IA 50316 | 2020-10-08 |
| 1639594484 | Tripti Kaul | Dentist | 1345 E. University Avenue, #302, Des Moines, IA 50316 | 2014-03-03 |
| 1184979023 | Ashley Marie Mundt | Physical Therapist | 710 Riverview Street, Des Moines, IA 50316 | 2012-07-17 |
| 1942562020 | Angela Maria Runkel | Nurse Practitioner | 1201 Penn Avenue, Penn Avenue Internal Medicine, Des Moines, IA 50316 | 2012-06-13 |
| 1821390121 | Recovercare LLC | Durable Medical Equipment & Medical Supplies | 2117 Dixon St, Des Moines, IA 50316 | 2010-11-19 |
| 1588838841 | Leenu Mishra | Psychiatry & Neurology | 700 East University Ave 3 West, Blank Childrens Psychiatry, Des Moines, IA 50316 | 2008-04-17 |
| 1477721686 | Kristin K Horning | Pharmacist | 840 East University Avenue, Des Moines, IA 50316 | 2008-02-11 |
| 1770695488 | Terrance O Kurtz | Internal Medicine | 2100 Dixon, Suite E Concentra Clinic, Des Moines, IA 50316 | 2006-08-31 |
| 1487281085 | Timothy Andrew Flynn | Behavioral Analyst | 1301 Pennsylvania Ave, Suite #305, Des Moines, IA 50316 | 2020-03-24 |
| Find all providers in zip 50316 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518039460 | Lilanganie Weerasinghe | Pediatrics | 2353 Se 14 St, Des Moines, IA 50320-1109 | 2006-11-15 |
| 1366546004 | Adel F Makar | Pediatrics | 910 N Eisenhower, Suite Peds, Mason City, IA 50401-0000 | 2006-09-12 |
| 1730172040 | Paul Andrew Rozeboom | Pediatrics | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2005-08-23 |
| 1164602553 | Mercy Clinics, Inc | Pediatrics | 800 E 1st St Ste 2200, Ankeny, IA 50021-2077 | 2007-11-14 |
| 1407036262 | Mercy Clinics Inc | Pediatrics | 330 Laurel St, Suite 2100, Des Moines, IA 50314-3034 | 2007-11-09 |
| 1588863518 | Sunita Tarun Kumar | Pediatrics | 330 Laurel St, Suite 2100, Des Moines, IA 50314-3034 | 2007-07-11 |
| 1144309188 | Central Iowa Hospital Corporation | Pediatrics | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2006-11-02 |
| 1952409716 | Martin G Meindl | Pediatrics | 910 N Eisenhower, Suite Peds, Mason City, IA 50401-0000 | 2006-09-20 |
| 1841398609 | Tami R Wiegmann | Pediatrics | 910 N Eisenhower, Suite Peds, Mason City, IA 50401-0000 | 2006-09-20 |
| 1821196684 | Jaffar A Shaikh | Pediatrics | 910 N Eisenhower, Suite Peds, Mason City, IA 50401-0000 | 2006-09-20 |
| Find all providers with the same taxonomy | ||||
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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.