MERCY PROFESSIONAL PRACTICE ASSOCIATES, INC. (NPI# 1235499765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235499765 |
| Entity Type | Organization |
| Organization Name | MERCY PROFESSIONAL PRACTICE ASSOCIATES, INC. |
| Other Organization Name | MERCY PEDIATRIC NEUROLOGY AND PSYCHIATRY CENTER |
| Practice Address |
411 Laurel St Suite: 3310 Des Moines IA 50314-3017 |
| Mailing Address |
Po Box 4925 Des Moines IA 50305-4925 |
| Practice Telephone | 5152716300 |
| Practice Fax Number | 5152716311 |
| Mailing Telephone | 5152716300 |
| Mailing Fax Number | 5152716311 |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2012-07-23 |
| Authorized Official Name | DAVID H VELLINGA (PRESIDENT CEO) |
| Authorized Official Telephone | 5152474278 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
IA | Allopathic & Osteopathic Physicians | |
| Y | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
IA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mercy Pediatric Neurology and Psychiatry Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902286073 | Mercy Professional Practice Associates, Inc. | Hospice Care, Community Based | 204 N 4th Ave E, Newton, IA 50208-3135 | 2015-06-04 |
| 1649650706 | Mercy Professional Practice Associates, Inc. | Physical Therapist | 204 N 4th Ave E, Newton, IA 50208-3135 | 2015-06-04 |
| 1659751717 | Mercy Professional Practice Associates, Inc. | Surgery | 300 N 4th Ave E, Suite D, Newton, IA 50208-3155 | 2015-06-04 |
| 1487034542 | Mercy Professional Practice Associates, Inc. | Emergency Medicine | 204 N 4th Ave E, Newton, IA 50208-3135 | 2015-06-04 |
| 1215317581 | Mercy Professional Practice Associates, Inc. | Home Health | 204 N 4th Ave E, Newton, IA 50208-3135 | 2015-06-02 |
| 1467720771 | Mercy Professional Practice Associates, Inc. | Surgery | 1111 6th Ave, Suite: B1, Des Moines, IA 50314-2613 | 2011-12-01 |
| 1922014356 | Mercy Professional Practice Associates, Inc. | Pediatrics | 1111 6th Ave, Main 3, Des Moines, IA 50314-2610 | 2006-07-31 |
| 1124032016 | Mercy Professional Practice Associates, Inc. | Hospitalist | 1111 6th Ave, Main 3, Des Moines, IA 50314-2610 | 2006-07-28 |
| 1437173812 | Mercy Professional Practice Associates, Inc. | Pediatrics | 1111 6th Ave, Main 3, Des Moines, IA 50314-2610 | 2006-07-27 |
| 1215959481 | Mercy Professional Practice Associates, Inc. | Clinic/Center | 411 Laurel St, Suite 3262, Des Moines, IA 50314-3017 | 2006-07-24 |
| Street Address |
411 LAUREL ST SUITE: 3310 |
| 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 | 2080P0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neurodevelopmental Disabilities |
| A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356681225 | Mercy Clinics, Inc | Pediatrics | 330 Laurel St Ste 1200, Des Moines, IA 50314-3044 | 2013-02-28 |
| City | DES MOINES |
| Zip Code | 50314 |
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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.