MERCY PHYSICIAN ASSOCIATES, INC (NPI# 1003013467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003013467 |
| Entity Type | Organization |
| Organization Name | MERCY PHYSICIAN ASSOCIATES, INC |
| Other Organization Name | MERCYCARE PSYCHIATRY |
| Practice Address |
701 10th St Se Cedar Rapids IA 52403-1251 |
| Mailing Address |
Po Box 1824 Cedar Rapids IA 52406-1824 |
| Practice Telephone | 3193694798 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2014-09-16 |
| Authorized Official Name | MR. TIM CHARLES (PRESIDENT AND CEO) |
| Authorized Official Telephone | 3193986697 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY PHYSICIAN ASSOCIATES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mercycare Psychiatry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619422748 | Mercy Physician Associates, Inc | Family Medicine | 777 76th Ave Dr Sw, Cedar Rapids, IA 52404 | 2016-08-18 |
| 1255886388 | Mercy Physician Associates, Inc | Internal Medicine | 777 76th Avenue Dr Sw, Cedar Rapids, IA 52404-7006 | 2016-08-18 |
| 1174720940 | Mercy Physician Associates, Inc | Family Medicine | 310 Highway 1 Se, Mt. Vernon, IA 52314 | 2007-06-27 |
| 1164629937 | Mercy Physician Associates, Inc | Family Medicine | 1765 Lininger Lane, North Liberty, IA 52317 | 2007-06-27 |
| 1497952170 | Mercy Physician Associates, Inc | Nurse Practitioner | 600 7th St Se Ste 100, Cedar Rapids, IA 52401-2120 | 2007-06-27 |
| 1962807784 | Mercy Physician Associates, Inc | Internal Medicine | 5264 Council St Ne, Suite 800, Cedar Rapids, IA 52402-2471 | 2014-10-23 |
| 1265784326 | Mercy Physician Associates, Inc | Family Medicine | 788 8th Ave Se, Ste 200, Cedar Rapids, IA 52401-2107 | 2012-10-12 |
| 1154693166 | Mercy Physician Associates, Inc | Family Medicine | 3701 Katz Dr, Marion, IA 52302-3871 | 2012-02-07 |
| 1306118310 | Mercy Physician Associates, Inc | Family Medicine | 1765 Lininger Ln, North Liberty, IA 52317-2316 | 2012-02-07 |
| 1699057232 | Mercy Physician Associates, Inc | Preventive Medicine | 5264 Council St Ne, Suite 700, Cedar Rapids, IA 52402-2471 | 2011-09-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | MERCY PHYSICIAN ASSOCIATES, INC. | 701 10th St Se, Cedar Rapids, IA 52403 |
| Street Address |
701 10TH ST SE |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52403-1251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740284421 | Chad Abernathey | Neurological Surgery | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2005-06-09 |
| 1942821244 | Nicole Sporrer | Registered Nurse | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2020-04-28 |
| 1669003075 | Keri Zimmerman | Internal Medicine | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2020-02-04 |
| 1033740311 | Jessica Leigh Robinson | Physician Assistant | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2020-01-27 |
| 1144850389 | Kendall Anne Deitering | Speech-Language Pathologist | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2020-01-16 |
| 1316586159 | Lindsay Nicole Ehlers | Nurse Practitioner | 701 10th St Se, Cedar Rapids, IA 52403-1292 | 2019-12-26 |
| 1467007096 | Hanna Bishop Molinari | Nurse Practitioner | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2019-08-09 |
| 1659931269 | Jessica Bettmann | Speech-Language Pathologist | 701 10th St Se, Cedar Rapids, IA 52403-1292 | 2019-06-17 |
| 1013574250 | William James Halls | Pharmacist | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2019-05-23 |
| 1851957732 | Jennifer Lori Somerville | Nurse Practitioner | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2019-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093242083 | Eric Burton | Social Worker | 1535 1st Ave Se., Cedar Rapids Va Cboc, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1619404613 | Dylan Roberts Streb | Family Medicine | Eastern Iowa Health Center, 1201 Third Avenue Se, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1760870851 | Forefront Dermatology, S.c. | Dermatology | 202 10th Street, Sw, Suite 290, Cedar Rapids, IA 52403 | 2014-12-26 |
| 1801292883 | Laura Pelechek | Marriage & Family Therapist | 1744 2nd Ave Se, Cedar Rapids, IA 52403 | 2014-11-18 |
| 1306090147 | John Daniel Schuchmann | Anesthesiology | 3629 Random Road Se, Cedar Rapids, IA 52403 | 2008-11-06 |
| 1851564157 | Cedar Rapids Medical Education Foundation | Family Medicine | 1260 Second Avenue S.e., Cedar Rapids, IA 52403 | 2008-04-08 |
| 1093866071 | Mcld Corporation | Durable Medical Equipment & Medical Supplies | 207 2nd Avenue Se Ste A, Cedar Rapids, IA 52403 | 2007-01-16 |
| 1154483980 | James P Schuller | Dentist | 1000 42nd St Se, 1000 Professional Centre Suite B, Cedar Rapids, IA 52403 | 2006-12-15 |
| 1477640183 | C R Iv Service Inc | Home Health | 402 10th St, Ste 700 Carepro Home Health, Cedar Rapids, IA 52403 | 2006-10-06 |
| 1104919638 | C R Iv Service Inc | Durable Medical Equipment & Medical Supplies | 402 10th Street Se, Suite 700, Cedar Rapids, IA 52403 | 2006-10-02 |
| Find all providers in zip 52403 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285697722 | Douglas Jones | Psychiatry & Neurology | 2202 Upland Dr Se, Cedar Rapids, IA 52403-4224 | 2006-04-07 |
| 1730173766 | Frank L Babcock | Psychiatry & Neurology | 2309 C St Sw, #330, Cedar Rapids, IA 52404-3707 | 2005-09-06 |
| 1205100674 | Corridor Health Care, Inc. | Psychiatry & Neurology | 4005 Wilson Ave Sw, Cedar Rapids, IA 52404-6340 | 2012-03-02 |
| 1831419316 | Kija Marie Weldon | Psychiatry & Neurology | 1730 1st Ave Ne, Cedar Rapids, IA 52402-5433 | 2010-06-07 |
| 1093941460 | Jeniece Nott | Psychiatry & Neurology | 1730 1st Ave Ne, Cedar Rapids, IA 52402-5433 | 2009-05-29 |
| 1477701449 | Integrated Med/psych Resources, P.C. | Psychiatry & Neurology | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2008-09-03 |
| 1215146055 | Rebecca J Wolfe | Psychiatry & Neurology | 1730 1st Ave Ne, Cedar Rapids, IA 52402-5433 | 2007-05-21 |
| 1275655458 | Gregory Hotsenpiller | Psychiatry & Neurology | 1730 1st Ave Ne, Cedar Centre Psychiatric Group, Cedar Rapids, IA 52402-5433 | 2007-04-06 |
| 1255405338 | Bryan David Netolicky | Psychiatry & Neurology | 1730 1st Ave Ne, Cedar Rapids, IA 52402-5433 | 2006-11-20 |
| 1568532240 | Collyer Ekholm | Psychiatry & Neurology | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2006-11-09 |
| Find all providers in CEDAR RAPIDS | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52403 |
Please comment or provide details below to improve the information on MERCY PHYSICIAN ASSOCIATES, INC.
| 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.