MERCY CLINICS, INC (NPI# 1912247818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912247818 |
| Entity Type | Organization |
| Organization Name | MERCY CLINICS, INC |
| Other Organization Name | MERCY PEDIATRIC INTENSIVISTS |
| Practice Address |
1111 6th Ave Main 3 Des Moines IA 50314-2613 |
| Mailing Address |
Po Box 1475 Des Moines IA 50305-1475 |
| Practice Telephone | 5156438677 |
| Mailing Telephone | 5156438677 |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2014-01-31 |
| Authorized Official Name | SHARON PHILLIPS (VP PRIMARY CARE DIVISION) |
| Authorized Official Telephone | 5156433270 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mercy Pediatric Intensivists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912304668 | Mercy Clinics, Inc | Clinic/Center | 2006 N 4th St, Indianola, IA 50125-4500 | 2014-11-24 |
| 1225462260 | Mercy Clinics, Inc | Clinic/Center | 1601 Nw 114th St Ste 240, Clive, IA 50325-7036 | 2013-08-27 |
| 1124365747 | Mercy Clinics, Inc | Physical Therapist | 1111 6th Ave. East Tower, Suite: B1, Des Moines, IA 50314-2610 | 2013-01-16 |
| 1295070118 | Mercy Clinics, Inc | Family Medicine | 2755 Gateway Dr, Carlisle, IA 50047-2302 | 2012-12-04 |
| 1043502743 | Mercy Clinics, Inc | Clinic/Center | 330 Laurel St Ste 1200, Des Moines, IA 50314-3044 | 2011-05-12 |
| 1699067397 | Mercy Clinics, Inc | Clinic/Center | 411 Laurel St Ste 2225, Des Moines, IA 50314-3002 | 2011-05-12 |
| 1780991588 | Mercy Clinics, Inc | Physical Therapist | 25 W Hickman Rd Ste 200, Waukee, IA 50263-5021 | 2010-09-01 |
| 1922288323 | Mercy Clinics, Inc | Clinic/Center | 5900 E University Ave Ste 300, Pleasant Hill, IA 50327-8469 | 2007-11-14 |
| 1194745752 | Mercy Clinics, Inc | Clinic/Center | 1350 Des Moines St Ste 110, Des Moines, IA 50309-5507 | 2006-07-19 |
| 1114943628 | Mercy Clinics, Inc | Clinic/Center | 800 E 1st St Ste 1700, Ankeny, IA 50021-2100 | 2006-07-15 |
| Street Address |
1111 6TH AVE MAIN 3 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184980278 | Morgan Leigh Grundstad | Pediatrics | 1111 6th Ave, Des Moines, IA 50314-2611 | 2012-04-03 |
| 1265500383 | Tracy L Ekhardt | Pediatrics | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2006-11-30 |
| 1922014356 | Mercy Professional Practice Associates, Inc. | Pediatrics | 1111 6th Ave, Main 3, Des Moines, IA 50314-2610 | 2006-07-31 |
| 1407838618 | Judy R Walker | Pediatrics | 1200 Pleasant St, Blank Childrens Hospital, Des Moines, IA 50309-1406 | 2005-11-15 |
| 1891780730 | Judith Heggen | Pediatrics | 1111 6th Ave, Main 3, Des Moines, IA 50314-2613 | 2005-09-16 |
| 1255325130 | Karen J Gerdes | Pediatrics | 1200 Pleasant St, Blank Children's Hospital, Des Moines, IA 50309-1406 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346760832 | Christopher David Monson | Pediatrics | 200 Hawkins Dr Dept Peds, Iowa City, IA 52242-1009 | 2017-06-26 |
| 1134376809 | Christina Luz Lopez Cifra | Pediatrics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2008-08-25 |
| 1043474505 | Cody R. Tigges | Pediatrics | 200 Hawkins Dr, 7770-kjpp, Iowa City, IA 52242-1009 | 2008-07-14 |
| 1922275122 | Melinda Coro | Pediatrics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2008-05-15 |
| 1720265044 | Shilpa Chandrappa Balikai | Pediatrics | 200 Hawkins Dr, Department of Pediatric Critical Care, Iowa City, IA 52242-1009 | 2008-01-29 |
| 1467661561 | Dewey K. Clark | Pediatrics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2007-05-22 |
| 1205040813 | Sameer Shantaram Kamath | Pediatrics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2007-05-10 |
| 1649252859 | Cheryl L Standing | Pediatrics | 1610 W Townline St, Creston, IA 50801-1066 | 2005-11-15 |
| 1790770147 | Jeffrey H Burzynski | Pediatrics | 200 Hawkins Dr, University of Iowa Hospitals & Clinics, Iowa City, IA 52242-1009 | 2005-09-13 |
| 1487655049 | John J Meehan | Pediatrics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-08-04 |
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| City | DES MOINES |
| Zip Code | 50314 |
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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.