MERCY PET SCANNER LLC (NPI# 1205997673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205997673 |
| Entity Type | Organization |
| Organization Name | MERCY PET SCANNER LLC |
| Practice Address |
411 Laurel St Suite 2310 Des Moines IA 50314-3017 |
| Mailing Address |
Po Box 1771 Des Moines IA 50306-1771 |
| Practice Telephone | 5156435353 |
| Mailing Telephone | 5156435353 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | REBECCA ROBBINS (DIRECTOR OF BILLING) |
| Authorized Official Telephone | 5156438672 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1255349 | 05 | |
| IA | WELLMARK OF IOWA | 33631 | 01 |
| Street Address |
411 LAUREL ST SUITE 2310 |
| City | DES MOINES |
| State | IA |
| Zip Code | 50314-3017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104593 | Diagnostic & Critical Care Medicine | Internal Medicine | 411 Laurel St, Ste 3275, Des Moines, IA 50314-3027 | 2005-06-20 |
| 1194292979 | Lindsey Kay Bruns | Nurse Anesthetist, Certified Registered | 411 Laurel St, Des Moines, IA 50314-3017 | 2018-10-30 |
| 1013458074 | Wendy Sontag | Social Worker | 411 Laurel St, Suite 2380, Des Moines, IA 50314-3017 | 2017-03-10 |
| 1437696705 | Maura Eileen Schaefer | Nurse Anesthetist, Certified Registered | 411 Laurel St, Suite 3170, Des Moines, IA 50314-3017 | 2017-01-25 |
| 1265891154 | Shannon Becker | Nurse Practitioner | 411 Laurel St, Suite 3310, Des Moines, IA 50314-3017 | 2016-02-19 |
| 1104295823 | Medical Oncology & Hematology Associates Ptrshp | Internal Medicine | 411 Laurel St, Suite 300a, Des Moines, IA 50314-3017 | 2015-09-23 |
| 1073996138 | Colorado Chiropractic and Sports Injury Center, LLC | Chiropractor | 411 Laurel St, Suite 2380, Des Moines, IA 50314-3017 | 2015-07-07 |
| 1821475534 | Michelle Elizabeth Krupski | Nurse Anesthetist, Certified Registered | 411 Laurel St, Suite 3170, Des Moines, IA 50314-3017 | 2015-05-01 |
| 1124422142 | Athletico Ltd | Occupational Therapist | 411 Laurel St, Suite 1300, Des Moines, IA 50314-3017 | 2014-10-20 |
| 1598168437 | Alohalani Taylor | Nurse Practitioner | 411 Laurel St, Des Moines, IA 50314-3017 | 2014-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982266979 | Dental Connections, Inc. | Dentist | 1111 9th Street, Suite 190, Des Moines, IA 50314 | 2019-07-01 |
| 1760910723 | Kelsey Taylor | Social Worker | 1761 Hickman Rd, Des Moines, IA 50314 | 2017-06-02 |
| 1184085672 | Allison J Robbins | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2016-03-11 |
| 1083081715 | Taylor Witzel | Specialist/Technologist | 450 Laurel Street, Des Moines, IA 50314 | 2015-08-28 |
| 1376893933 | Caring Hearts LLC | In Home Supportive Care | 1620 Pleasant, #245, Des Moines, IA 50314 | 2012-09-11 |
| 1104117522 | Akinbode Solomon Egbelakin | Pediatrics | 1111 6th Ave # Main3, Des Moines, IA 50314 | 2011-04-20 |
| 1447488325 | Abdelaziz Elhaddad | Internal Medicine | 95 University Avenue, Suite 1, Des Moines, IA 50314 | 2009-06-30 |
| 1356584080 | Tara Michelle Graff | Internal Medicine | 411 Laurel Street Suite A300, Des Moines, IA 50314 | 2009-04-10 |
| 1700068517 | Planned Parenthood of The Heartland | Family Medicine | 123 Clark Street, Des Moines, IA 50314 | 2007-12-04 |
| 1790903235 | Christy J. Meyer | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2007-04-22 |
| Find all providers in zip 50314 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952483554 | Philip Bakody | Radiology | 615 Park St, Suite 1207, Des Moines, IA 50309-1601 | 2006-10-20 |
| 1629166707 | Thomas Edmund Murphy | Radiology | 3507 Skyline Dr, Des Moines, IA 50310-5050 | 2006-10-11 |
| 1528030194 | Diagnostic Imaging Associates, P.C. | Radiology | 1111 Sixth Avenue, Des Moines, IA 50314-2611 | 2006-02-07 |
| 1558356220 | Michael Quinn | Radiology | 700 E University Ave, Des Moines, IA 50316-2302 | 2005-09-19 |
| 1497016273 | Raviv Ramdial | Radiology | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2012-06-07 |
| 1861791311 | Zachary J Viets | Radiology | 1111 6th Ave, Des Moines, IA 50314-2613 | 2011-03-23 |
| 1245551274 | Joseph Jay Vavricek | Radiology | 1111 6th Ave, Des Moines, IA 50314-0000 | 2010-06-14 |
| 1346449709 | Seth William Gibson | Radiology | 1111 6th Ave, Des Moines, IA 50314-2613 | 2007-07-16 |
| 1053439059 | Mark Christopher Johnson | Radiology | 1111 6th Ave, Des Moines, IA 50314-2613 | 2007-03-27 |
| 1689712408 | William A Manzo | Radiology | 1111 6th Ave, Des Moines, IA 50314-2613 | 2007-02-02 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50314 |
Please comment or provide details below to improve the information on MERCY PET SCANNER LLC.
| 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.