Then Ethan Van Tong (NPI# 1447578992, PAC ID# 7214161520) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1447578992 |
| PAC ID by PECOS | 7214161520 |
| Professional Enrollment ID | I20130927000441 |
| Full Name | Then Ethan Van Tong |
| Organization Legal Name | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Address |
1221 Pleasant St Suite 200 Des Moines IA 50309-1424 |
| Phone Number | 5152418221 |
| Gender | M |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8729992318 |
| Number of Group Practice Members | 956 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050028 | MAD RIVER COMMUNITY HOSPITAL |
| 160082 | IOWA METHODIST MEDICAL CENTER |
| 050417 | SUTTER COAST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3800 Janes Rd, Arcata, CA 95521-4742 | 70782272203358 | NORTH PACIFIC CARDIOLOGY MEDICAL |
| 1221 Pleasant St, Suite 200, Des Moines, IA 50309-1424 | 5152418221 | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Organization Legal Name | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Physicians | 930 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Ann Burgard | Internal Medicine | Iowa Physicians Clinic Medical Foundation | 2515 Sw State St, 100 Internal Med Ankeny At Prairie Trai, Ankeny, IA 50023-7079 |
| Meredith Swenson | Family Medicine | Iowa Physicians Clinic Medical Foundation | 6010 Mills Civic Pkwy, Suite 200, West Des Moines, IA 50266-8345 |
| Aimee R Sarchet | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 3591 Griffin Ave, Pekin, IL 61554-6258 |
| Valerie Hannenberg | Clinical Social Worker | Iowa Physicians Clinic Medical Foundation | 1824 W 8th St, Cedar Falls, IA 50613-2056 |
| Maged A Ghoprial | Family Medicine | Iowa Physicians Clinic Medical Foundation | 5401 44th Ave Dr, Suite 101, Moline, IL 61265-8126 |
| Emily A Grarup | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 2140 Logan Ave, Suite C, Waterloo, IA 50703-1002 |
| Kyle P Kosman | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 801 Colonial Cir, Norwalk, IA 50211-9637 |
| Nicholas C Rains | Physician Assistant | Iowa Physicians Clinic Medical Foundation | 111 Tower St, Denver, IA 50622-2201 |
| Kurtis A Lucas | Family Medicine | Iowa Physicians Clinic Medical Foundation | 1825 Logan Ave, Waterloo, IA 50703-1999 |
| Christina L Aquino | Clinical Social Worker | Iowa Physicians Clinic Medical Foundation | 830 4th Ave Se, 1 Family Medicine Medical District, Cedar Rapids, IA 52403-2445 |
| Street Address |
1221 PLEASANT ST SUITE 200 |
| City | DES MOINES |
| State | IA |
| Zip | 50309-1424 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua C Lukenbill | Hematology/oncology | Medical Oncology and Hematology Associates Ptrshp | 1221 Pleasant St, Suite 100, Des Moines, IA 50309-1424 |
| Aaron C Hurlbut | Diagnostic Radiology | Iowa Diagnostic Imaging and Procedure Center Lc | 1221 Pleasant St, Suite 350, Des Moines, IA 50309-1420 |
| Angela Lynn Maksutoski | Nurse Practitioner | Medical Oncology and Hematology Associates Ptrshp | 1221 Pleasant St, Suite 100, Des Moines, IA 50309-1424 |
| Matthew L Hill | Medical Oncology | Medical Oncology and Hematology Associates Ptrshp | 1221 Pleasant St, Suite 100, Des Moines, IA 50309-1424 |
| Josephine D Budinger | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 1221 Pleasant St, Suite 200, Des Moines, IA 50309-1424 |
| Nicholas Klauer Sullivan | Diagnostic Radiology | Pet Co LLC | 1221 Pleasant St, Suite 150a, Des Moines, IA 50309-1423 |
| Nicholas Hilpipre | Diagnostic Radiology | Iowa Diagnostic Imaging and Procedure Center Lc | 1221 Pleasant St, Suite 350, Des Moines, IA 50309-1420 |
| Mohammad Alsharabati | Neurology | Iowa Physicians Clinic Medical Foundation | 1221 Pleasant St, Suite 300, Des Moines, IA 50309-1426 |
| David Bradley Magill | Diagnostic Radiology | Iowa Diagnostic Imaging and Procedure Center Lc | 1221 Pleasant St, Suite 350, Des Moines, IA 50309-1420 |
| Daniel M Buroker | Medical Oncology | Medical Oncology and Hematology Associates Ptrshp | 1221 Pleasant St, Suite 100, Des Moines, IA 50309-1424 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donner Dewdney | Psychiatry | Eyerly Ball Community Mental Health Services | 1301 Ctr St, Des Moines, IA 50309-1004 |
| Joseph M Nemmers | Clinical Social Worker | Eyerly Ball Community Mental Health Services | 1301 Ctr St, Des Moines, IA 50309-1004 |
| John F Morrow | Clinical Social Worker | Eyerly Ball Community Mental Health Services | 1301 Ctr St, Des Moines, IA 50309-1004 |
| Steven Stokes | Nurse Practitioner | Eyerly Ball Community Mental Health Services | 1301 Ctr St, Des Moines, IA 50309-1004 |
| Amanda J Erion | Clinical Social Worker | Eyerly Ball Community Mental Health Services | 1301 Ctr St, Des Moines, IA 50309-1004 |
| Heather J Thomas | Clinical Social Worker | Eyerly Ball Community Mental Health Services | 1301 Ctr St, Des Moines, IA 50309-1004 |
| Glenn R Baughman | Clinical Social Worker | Eyerly Ball Community Mental Health Services | 1301 Ctr St, Des Moines, IA 50309-1004 |
| Marcia E Ring | Nurse Practitioner | Eyerly Ball Community Mental Health Services | 1301 Ctr St, Des Moines, IA 50309-1004 |
| Becky A Hunter | Clinical Social Worker | Eyerly Ball Community Mental Health Services | 1301 Ctr St, Des Moines, IA 50309-1004 |
| Melissa M Steenhoven | Clinical Social Worker | 1301 Ctr St, Des Moines, IA 50309-1004 | |
| Find all physicians in zip 50309 | |||
| City | DES MOINES |
| Zip Code | 50309 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | DES MOINES + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Then Ethan Van Tong.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.