Mark A Tannenbaum (NPI# 1033191861, PAC ID# 9537205331) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1033191861 |
| PAC ID by PECOS | 9537205331 |
| Professional Enrollment ID | I20091008000373 |
| Full Name | Mark A Tannenbaum |
| Organization Legal Name | CATHOLIC HEALTH INITIATIVES-IOWA CORP |
| Address |
5880 University Ave West Des Moines IA 50266-8209 |
| Phone Number | 5156333600 |
| Gender | M |
| Medical School | UNIVERSITY OF VERMONT COLLEGE OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 5698683142 |
| Number of Group Practice Members | 122 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160083 | MERCY MEDICAL CENTER-DES MOINES |
| 160089 | OTTUMWA REGIONAL HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1005 Pennsylvania Ave, Suite 207, Ottumwa, IA 52501-6414 | 6416825349 | CATHOLIC HEALTH INITIATIVES-IOWA CORP |
| 5880 University Ave, West Des Moines, IA 50266-8209 | 5156333600 | CATHOLIC HEALTH INITIATIVES-IOWA CORP |
| Organization Legal Name | CATHOLIC HEALTH INITIATIVES-IOWA CORP |
| Physicians | 120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dee Dorsett | Nurse Practitioner | Catholic Health Initiatives-iowa Corp | 5880 University Ave, West Des Moines, IA 50266-8209 |
| Megan R Eastman | Nurse Practitioner | Catholic Health Initiatives-iowa Corp | 800 Kenyon Rd, Fort Dodge, IA 50501-5776 |
| Ravinder Kumar | Interventional Cardiology | Catholic Health Initiatives-iowa Corp | 1816 Philadelphia St, Ames, IA 50010-8771 |
| Gardar Sigurdsson | Cardiovascular Disease (cardiology) | Catholic Health Initiatives-iowa Corp | 210 4th Ave, Grinnell, IA 50112-1898 |
| William J Wickemeyer | Advanced Heart Failure and Transplant Cardiology | Catholic Health Initiatives-iowa Corp | 1002 S Lincoln St, Knoxville, IA 50138-3121 |
| Mitchell R Erickson | Diagnostic Radiology | Catholic Health Initiatives-iowa Corp | 5880 University Ave, West Des Moines, IA 50266-8209 |
| Ganga Prabhakar | Thoracic Surgery | Catholic Health Initiatives-iowa Corp | 5880 University Ave, West Des Moines, IA 50266-8209 |
| Mark C Johnson | Diagnostic Radiology | Catholic Health Initiatives-iowa Corp | 5880 University Ave, West Des Moines, IA 50266-8209 |
| Yuichi Ishida | Thoracic Surgery | Catholic Health Initiatives-iowa Corp | 5880 University Ave, West Des Moines, IA 50266-8209 |
| Michelle A Thornton | Nurse Practitioner | Catholic Health Initiatives-iowa Corp | 5880 University Ave, West Des Moines, IA 50266-8209 |
| Street Address |
5880 UNIVERSITY AVE |
| City | WEST DES MOINES |
| State | IA |
| Zip | 50266-8209 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dee Dorsett | Nurse Practitioner | Catholic Health Initiatives-iowa Corp | 5880 University Ave, West Des Moines, IA 50266-8209 |
| Mitchell R Erickson | Diagnostic Radiology | Catholic Health Initiatives-iowa Corp | 5880 University Ave, West Des Moines, IA 50266-8209 |
| Ganga Prabhakar | Thoracic Surgery | Catholic Health Initiatives-iowa Corp | 5880 University Ave, West Des Moines, IA 50266-8209 |
| Mark C Johnson | Diagnostic Radiology | Catholic Health Initiatives-iowa Corp | 5880 University Ave, West Des Moines, IA 50266-8209 |
| Yuichi Ishida | Thoracic Surgery | Catholic Health Initiatives-iowa Corp | 5880 University Ave, West Des Moines, IA 50266-8209 |
| Michelle A Thornton | Nurse Practitioner | Catholic Health Initiatives-iowa Corp | 5880 University Ave, West Des Moines, IA 50266-8209 |
| Sumit Sehgal | Cardiovascular Disease (cardiology) | Catholic Health Initiatives-iowa Corp | 5880 University Ave, West Des Moines, IA 50266-8209 |
| Roman Mirsky | Diagnostic Radiology | Catholic Health Initiatives-iowa Corp | 5880 University Ave, West Des Moines, IA 50266-8209 |
| Jean A Schmitt | Nurse Practitioner | Catholic Health Initiatives-iowa Corp | 5880 University Ave, West Des Moines, IA 50266-8209 |
| Annalisa M Cochran | Nurse Practitioner | Catholic Health Initiatives-iowa Corp | 5880 University Ave, West Des Moines, IA 50266-8209 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Karl Zorn | Sleep Medicine | Iowa Sleep Disorders Center, P.C. | 4060 Westown Pkwy, West Des Moines, IA 50266-1010 |
| Christie A Bosler | Physician Assistant | Iowa Sleep Disorders Center, P.C. | 4060 Westown Pkwy, West Des Moines, IA 50266-1010 |
| Carol A Smith | Physician Assistant | Iowa Sleep Disorders Center, P.C. | 4060 Westown Pkwy, West Des Moines, IA 50266-1010 |
| Diedre K Benson | Nurse Practitioner | Iowa Sleep Disorders Center, P.C. | 4060 Westown Pkwy, West Des Moines, IA 50266-1010 |
| Terry D Huseman | Optometry | Des Moines Family Eyecare LLC | 1551 Valley W Dr, 118b, West Des Moines, IA 50266-1107 |
| Todd W Christensen | Optometry | 1551 Valley W Dr, Suite 100, West Desmoines, IA 50266-1107 | |
| Robert T Brown | Optometry | Des Moines Family Eyecare LLC | 1551 Valley W Dr, 118b, West Des Moines, IA 50266-1107 |
| Katherine Kemmerer | Optometry | Terry D Huseman Od PC | 1551 Valley W Dr, 242 Huseman Eyecare Valley West, West Des Moines, IA 50266-1108 |
| Kelly J Soults | Optometry | Terry D Huseman Od PC | 1551 Valley W Dr, 242 Huseman Eyecare Valley West, West Des Moines, IA 50266-1108 |
| Allen J Blume | Optometry | Terry D Huseman Od PC | 1551 Valley W Dr, 242 Huseman Eyecare Valley West, West Des Moines, IA 50266-1108 |
| Find all physicians in zip 50266 | |||
| City | WEST DES MOINES |
| Zip Code | 50266 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | WEST DES MOINES + INTERVENTIONAL CARDIOLOGY |
Please comment or provide details below to improve the information on Mark A Tannenbaum.
| 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.