Lisa A Klock (NPI# 1891707832, PAC ID# 9234272071) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1891707832 |
| PAC ID by PECOS | 9234272071 |
| Professional Enrollment ID | I20100202000777 |
| Full Name | Lisa A Klock |
| Organization Legal Name | BROADLAWNS MEDICAL CENTER |
| Address |
2508 E University Ave Des Moines IA 50317-5313 |
| Phone Number | 5152822296 |
| Gender | F |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3678466166 |
| Number of Group Practice Members | 193 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160101 | BROADLAWNS MEDICAL CENTER |
| 160083 | MERCY MEDICAL CENTER-DES MOINES |
| Address | Phone | Organization |
|---|---|---|
| 2508 E University Ave, Des Moines, IA 50317-5313 | 5152822296 | BROADLAWNS MEDICAL CENTER |
| Organization Legal Name | BROADLAWNS MEDICAL CENTER |
| Physicians | 205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah B Ling | Family Medicine | Broadlawns Medical Center | 507 14th St, Dallas Center, IA 50063-7738 |
| William L Ingram | Emergency Medicine | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1597 |
| Ryan Bakke | Emergency Medicine | Broadlawns Medical Center | 2508 E University Ave, Des Moines, IA 50317-5313 |
| Edward G Jones | Family Medicine | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1505 |
| Brahmananda P Makkapati | Psychiatry | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1505 |
| Kanwaljit Kaur Chouhan | Nephrology | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1597 |
| Lisa M Kirkpatrick | Physician Assistant | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1597 |
| Kelly J Weiss Kreps | Psychiatry | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1597 |
| William H Fanter | Physician Assistant | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1597 |
| Paul W Baumert Jr. | Family Medicine | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1597 |
| Street Address |
2508 E UNIVERSITY AVE |
| City | DES MOINES |
| State | IA |
| Zip | 50317-5313 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Bakke | Emergency Medicine | Broadlawns Medical Center | 2508 E University Ave, Des Moines, IA 50317-5313 |
| Rachael Chrstine Parker | Family Medicine | Broadlawns Medical Center | 2508 E University Ave, Des Moines, IA 50317-5313 |
| Jeffrey R Brady | Family Medicine | Broadlawns Medical Center | 2508 E University Ave, Des Moines, IA 50317-5313 |
| Andrea J Bloch | Psychiatry | Broadlawns Medical Center | 2508 E University Ave, Des Moines, IA 50317-5313 |
| Christopher R Matson | Family Medicine | Broadlawns Medical Center | 2508 E University Ave, Des Moines, IA 50317-5313 |
| Lizabeth M Price | Nurse Practitioner | Broadlawns Medical Center | 2508 E University Ave, Des Moines, IA 50317-5313 |
| Christopher F Blodi | Ophthalmology | Broadlawns Medical Center | 2508 E University Ave, Des Moines, IA 50317-5313 |
| Lindsey A Christianson | Family Medicine | Broadlawns Medical Center | 2508 E University Ave, Des Moines, IA 50317-5313 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel J Hannan | Chiropractic | 2821 Hubbell Ave, Des Moines, IA 50317-3067 | |
| David A Yount | Podiatry | 2459 E Euclid Ave A, Des Moines, IA 50317-3657 | |
| Edmund A Seaward | Optometry | 2472 E Euclid Ave, Des Moines, IA 50317-3658 | |
| Elisabeth Studer Neighbors | Nurse Practitioner | 3231 E Euclid Ave, Suite 100, Des Moines, IA 50317-3862 | |
| Gary D Nutt | Podiatry | 2802 E Euclid Ave, Des Moines, IA 50317-4246 | |
| Alan Randal Bollinger | Family Medicine | Primary Health Care, Inc. | 3509 E 29th St, Des Moines, IA 50317-4253 |
| Maria A Guevara Hernandez | Hospitalist | Primary Health Care, Inc. | 3509 E 29th St, Des Moines, IA 50317-4253 |
| Ronnie Hawkins | Family Medicine | Primary Health Care, Inc. | 3509 E 29th St, Des Moines, IA 50317-4253 |
| Susan M Aalborg Glenn | Chiropractic | 4503 E 50th, Des Moines, IA 50317-4729 | |
| Nicole Nelson | Physical Therapy | Athletico Ltd | 2918 E University Ave, Athletico Physical Therapy, Des Moines, IA 50317-8236 |
| Find all physicians in zip 50317 | |||
| City | DES MOINES |
| Zip Code | 50317 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DES MOINES + FAMILY MEDICINE |
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| 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.