KEN L CHEYNE (NPI# 1053305086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053305086 |
| Entity Type | Individual |
| Full Name | KEN L CHEYNE |
| Credential | MD |
| Practice Address |
1212 Pleasant St Suite 406 Des Moines IA 50309-1453 |
| Practice Telephone | 5152418336 |
| Practice Fax Number | 5152416465 |
| Mailing Telephone | 5152418336 |
| Mailing Fax Number | 5152416465 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2011-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
23873 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1053305086 | 05 | |
| MO | 1053305086 | 05 | |
| MEDICARE | 53506 | 01 |
| Street Address |
1212 PLEASANT ST SUITE 406 |
| City | DES MOINES |
| State | IA |
| Zip Code | 50309-1453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447242540 | Cynthia S Hockman | Nurse Practitioner | 1212 Pleasant St, Suite 300, Des Moines, IA 50309-1453 | 2005-08-16 |
| 1326410499 | Tara M. Eastvold | Nurse Practitioner | 1212 Pleasant St, Suite 204, Des Moines, IA 50309-1414 | 2015-10-28 |
| 1447672589 | Terri M Rater | Nurse Practitioner | 1212 Pleasant St, Suite 204, Des Moines, IA 50309-1414 | 2014-01-08 |
| 1104105303 | Brenda K. Pedersen | Occupational Therapist | 1212 Pleasant St, Suite 300, Des Moines, IA 50309-1414 | 2011-08-05 |
| 1588952147 | Carlos A Pelaez Gil | Surgery | 1212 Pleasant St, Ste 211, Des Moines, IA 50309 | 2011-07-18 |
| 1528360856 | Sarah Marie Seehase | Nurse Practitioner | 1212 Pleasant St, Suite 300, Des Moines, IA 50309-1414 | 2010-11-18 |
| 1861704454 | Christopher J Borgman | Optometrist | 1212 Pleasant St, Suite 202, Des Moines, IA 50309-1414 | 2010-07-12 |
| 1427376219 | Debra Ann Downing | Nurse Practitioner | 1212 Pleasant St, Suite 300, Des Moines, IA 50309-1453 | 2010-05-04 |
| 1255657680 | Jacob Edward Sramek | Pathology | 1212 Pleasant St, Suite Ll3, Des Moines, IA 50309-1414 | 2010-04-09 |
| 1376777524 | Alladdin Moh. Elhadi Abosaida | Pediatrics | 1212 Pleasant St, Suite 204, Des Moines, IA 50309-1414 | 2009-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126894 | Marie Danielle Leblanc | Surgery | Anna Blank Building, Level 2, Dept Pediatric Surgery, 1206 Pleasant Street, Des Moines, IA 50309 | 2020-05-27 |
| 1538710421 | Macy Mckendree | Social Worker | 918 Se 11th St., Des Moines, IA 50309 | 2019-09-23 |
| 1750938825 | Paradocs Psychological Services | Clinic/Center | 1400 Walnut St #110, Onyx Business, Des Moines, IA 50309 | 2019-08-22 |
| 1003315011 | Hyvacs, LLC | Durable Medical Equipment & Medical Supplies | 215 10th St Ste 110, Des Moines, IA 50309 | 2018-02-05 |
| 1770005746 | Jacob Michael Boyle | Chiropractor | 500 Sw 7th St Ste 205, Des Moines, IA 50309 | 2017-07-12 |
| 1831646140 | Innovative Transport Enterprise, LLC | Non-emergency Medical Transport (VAN) | 309 Court Ave, Ste 811, Des Moines, Ia, 50309, Ste 811, Des Moines, IA 50309 | 2016-09-02 |
| 1457807000 | Patricia Bularzik | Social Worker | 808 5th Avenue, Des Moines, IA 50309 | 2016-09-01 |
| 1396128492 | Sarah Lynn Cavan | Social Worker | 1301 Center, Eyerly Ball Community Mental Health Center, Des Moines, IA 50309 | 2015-07-07 |
| 1104204056 | Andrea Lynn Jones | Social Worker | 600 E Court Ste 200, Des Moines, IA 50309 | 2015-05-12 |
| 1811388937 | Matthew Zirretta | Physical Therapist | 1515 Linden Street, 1st Floor, Integrated Physical Therapy & Sports Medicine, Des Moines, IA 50309 | 2015-02-11 |
| Find all providers in zip 50309 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518039460 | Lilanganie Weerasinghe | Pediatrics | 2353 Se 14 St, Des Moines, IA 50320-1109 | 2006-11-15 |
| 1407036262 | Mercy Clinics Inc | Pediatrics | 330 Laurel St, Suite 2100, Des Moines, IA 50314-3034 | 2007-11-09 |
| 1588863518 | Sunita Tarun Kumar | Pediatrics | 330 Laurel St, Suite 2100, Des Moines, IA 50314-3034 | 2007-07-11 |
| 1144309188 | Central Iowa Hospital Corporation | Pediatrics | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366546004 | Adel F Makar | Pediatrics | 910 N Eisenhower, Suite Peds, Mason City, IA 50401-0000 | 2006-09-12 |
| 1730172040 | Paul Andrew Rozeboom | Pediatrics | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2005-08-23 |
| 1861908089 | Grand View University | Pediatrics | 1200 Grandview Ave, Johnson Wellness Center, Des Moine, IA 50316-1529 | 2017-12-26 |
| 1164602553 | Mercy Clinics, Inc | Pediatrics | 800 E 1st St Ste 2200, Ankeny, IA 50021-2077 | 2007-11-14 |
| 1952409716 | Martin G Meindl | Pediatrics | 910 N Eisenhower, Suite Peds, Mason City, IA 50401-0000 | 2006-09-20 |
| 1841398609 | Tami R Wiegmann | Pediatrics | 910 N Eisenhower, Suite Peds, Mason City, IA 50401-0000 | 2006-09-20 |
| 1821196684 | Jaffar A Shaikh | Pediatrics | 910 N Eisenhower, Suite Peds, Mason City, IA 50401-0000 | 2006-09-20 |
| 1982708566 | North Iowa Mercy Clinics | Pediatrics | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2006-09-12 |
| 1093720708 | North Iowa Mercy Clinics | Pediatrics | 401 S 15th St, Clear Lake, IA 50428-2303 | 2006-07-30 |
| 1710939780 | Douglas Gregory Olk | Pediatrics | 1000 Langworthy St, Dubuque, IA 52001-7313 | 2006-05-17 |
| Find all providers with the same taxonomy | ||||
| City | DES MOINES |
| Zip Code | 50309 |
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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.