MERCY CLINICS, INC (NPI# 1073853461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073853461 |
| Entity Type | Organization |
| Organization Name | MERCY CLINICS, INC |
| Other Organization Name | MERCYONE CLIVE PHYSICAL MEDICINE & REHABILITATION |
| Practice Address |
12493 University Ave Ste 100 Clive IA 50325 |
| Mailing Address |
Po Box 1475 Des Moines IA 50305-1475 |
| Practice Telephone | 5153589461 |
| Practice Fax Number | 5153589489 |
| Mailing Telephone | 5153589461 |
| Mailing Fax Number | 5153589489 |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2019-04-05 |
| Authorized Official Name | SHARON PHILLIPS (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 5153586960 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081N0008X |
Physical Medicine & Rehabilitation Specialization: Neuromuscular Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MercyOne Clive Physical Medicine & Rehabilitation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912304668 | Mercy Clinics, Inc | Clinic/Center | 2006 N 4th St, Indianola, IA 50125-4500 | 2014-11-24 |
| 1225462260 | Mercy Clinics, Inc | Clinic/Center | 1601 Nw 114th St Ste 240, Clive, IA 50325-7036 | 2013-08-27 |
| 1124365747 | Mercy Clinics, Inc | Physical Therapist | 1111 6th Ave. East Tower, Suite: B1, Des Moines, IA 50314-2610 | 2013-01-16 |
| 1295070118 | Mercy Clinics, Inc | Family Medicine | 2755 Gateway Dr, Carlisle, IA 50047-2302 | 2012-12-04 |
| 1043502743 | Mercy Clinics, Inc | Clinic/Center | 330 Laurel St Ste 1200, Des Moines, IA 50314-3044 | 2011-05-12 |
| 1699067397 | Mercy Clinics, Inc | Clinic/Center | 411 Laurel St Ste 2225, Des Moines, IA 50314-3002 | 2011-05-12 |
| 1780991588 | Mercy Clinics, Inc | Physical Therapist | 25 W Hickman Rd Ste 200, Waukee, IA 50263-5021 | 2010-09-01 |
| 1922288323 | Mercy Clinics, Inc | Clinic/Center | 5900 E University Ave Ste 300, Pleasant Hill, IA 50327-8469 | 2007-11-14 |
| 1194745752 | Mercy Clinics, Inc | Clinic/Center | 1350 Des Moines St Ste 110, Des Moines, IA 50309-5507 | 2006-07-19 |
| 1114943628 | Mercy Clinics, Inc | Clinic/Center | 800 E 1st St Ste 1700, Ankeny, IA 50021-2100 | 2006-07-15 |
| Street Address |
12493 UNIVERSITY AVE STE 100 |
| City | CLIVE |
| State | IA |
| Zip Code | 50325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285756486 | Jeffrey Allen Pederson | Physical Medicine & Rehabilitation | 12493 University Ave Ste 100, Clive, IA 50325-8286 | 2007-04-06 |
| 1306324553 | Kevin Patrick Mcvey | Pharmacist | 12493 University Ave Ste 100, Clive, IA 50325-8286 | 2018-07-31 |
| 1376067892 | Cassie Ann Esdohr | Physician Assistant | 12493 University Ave Ste 100, Clive, IA 50325 | 2017-07-26 |
| 1861854374 | Matthew Robert Golish | Physical Medicine & Rehabilitation | 12493 University Ave Ste 100, Clive, IA 50325-8286 | 2016-03-23 |
| 1790140507 | Kevin Smith | Physical Therapist | 12493 University Ave Ste 100, Clive, IA 50325-8286 | 2015-12-21 |
| 1144685025 | Nicole Kuhl | Occupational Therapist | 12493 University Ave Ste 100, Clive, IA 50325-8286 | 2015-12-21 |
| 1124483110 | Karla Richards | Occupational Therapist | 12493 University Ave Ste 100, Clive, IA 50325-8286 | 2015-12-18 |
| 1558726463 | Andrea Nelson | Occupational Therapist | 12493 University Ave Ste 100, Clive, IA 50325-8286 | 2015-12-18 |
| 1013273143 | Blair Camille Runde | Chiropractor | 12493 University Ave Ste 100, Clive, IA 50325-8286 | 2012-04-03 |
| 1750675716 | Anthony Daniel Kopp | Internal Medicine | 12493 University Ave Ste 100, Clive, IA 50325-8286 | 2011-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449446 | Clive Behavioral Health LLC | Psychiatric Hospital | 1500 Nw 114th St, Clive, IA 50325 | 2020-05-21 |
| 1609426519 | Caroline Silva Pereira Lara Ribeiro | Occupational Therapist | 15500 Boston Parkway, Appt 110, Clive, IA 50325 | 2019-09-13 |
| 1487203873 | Karen Turnure | Technician | 4524 Nw 16th St, Clive, IA 50325 | 2019-09-09 |
| 1659920320 | Phs Walnut Ridge LLC | Skilled Nursing Facility | 1703 Campus Drive, Clive, IA 50325 | 2019-09-05 |
| 1700288834 | Lindsey White | Chiropractor | 12931 University Ave, Suite 103, Clive, IA 50325 | 2014-09-19 |
| 1811337389 | Metro West Learning Center, LLC | Counselor | 13300 Hickman Rd Ste 110, Clive, IA 50325 | 2013-06-28 |
| 1700110343 | Rodolfo Mallorca Legislador Sr. | Family Medicine | 1665 Nw 97th St., Clive, IA 50325 | 2009-09-30 |
| 1891961900 | Erin Ducharme | Dermatology | 16349 Sheridan Drive, Suite 101, Clive, IA 50325 | 2008-05-08 |
| 1174792873 | The Iowa Clinic PC | Prosthetic/Orthotic Supplier | 12655 University Ave, Ste 160, Clive, IA 50325 | 2008-02-27 |
| 1164623393 | Melisa Coaker | Internal Medicine | 1275 Nw 128th St, Ste 200, Clive, IA 50325 | 2007-05-28 |
| Find all providers in zip 50325 | ||||
| Taxonomy Code | 2081N0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Neuromuscular Medicine |
| A physician who specializes in neuromuscular medicine possesses specialized knowledge in the science, clinical evaluation and management of these disorders. This encompasses the knowledge of the pathology, diagnosis and treatment of these disorders at a level that is significantly beyond the training and knowledge expected of a general neurologist, child neurologist or physiatrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669601787 | Mercy Professional Practice Associates, Inc | Physical Medicine & Rehabilitation | 1111 6th Ave, Suite B3, Des Moines, IA 50314-2613 | 2009-07-10 |
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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.