MERCY CLINICS INC (NPI# 1265458723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265458723 |
| Entity Type | Organization |
| Organization Name | MERCY CLINICS INC |
| Other Organization Name | MERCY INDIANOLA DETROIT MEDICAL CLINIC |
| Practice Address |
112 E Detroit Ave Indianola IA 50125-1860 |
| Mailing Address |
Po Box 1475 Des Moines IA 50305-1475 |
| Practice Telephone | 5159615324 |
| Practice Fax Number | 5159610116 |
| Mailing Telephone | 5156434374 |
| Mailing Fax Number | 5156432784 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2008-07-24 |
| Authorized Official Name | DR. DAVID SWIESKOWSKI (VICE PRESIDENT) |
| Authorized Official Telephone | 5156437150 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | RAILROAD MEDICARE | CD3776 | 01 |
| IA | 3207084 | 05 |
| Other Name | Type Code |
|---|---|
| Mercy Indianola Detroit Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407034168 | Mercy Clinics Inc | Clinic/Center | Skywalk Level, Equitable Bldg, 604 Locust St - Ste 210, Des Moines, IA 50309 | 2008-02-05 |
| 1720268121 | Mercy Clinics Inc | Internal Medicine | 1540 High St Ste 101, Des Moines, IA 50309-3108 | 2007-11-14 |
| 1093995409 | Mercy Clinics Inc | Physical Therapist | 4003 Nw Urbandale Dr, Urbandale, IA 50322-7914 | 2007-11-14 |
| 1548440928 | Mercy Clinics Inc | Physical Therapist | 800 E 1st St Ste 2000, Ankeny, IA 50021-2077 | 2007-11-14 |
| 1669652061 | Mercy Clinics Inc | Clinic/Center | 1601 Nw 114th St Ste 345, Clive, IA 50325-7036 | 2007-11-14 |
| 1912187394 | Mercy Clinics Inc | Physical Therapist | 307 E Scenic Valley Ave Ste 300, Indianola, IA 50125-4865 | 2007-11-14 |
| 1083636815 | Mercy Clinics Inc | Clinic/Center | 4005 Nw Urbandale Drive, Urbandale, IA 50322-7914 | 2006-07-24 |
| 1831110816 | Mercy Clinics Inc | Clinic/Center | 19 E Howard St, Colfax, IA 50054-1020 | 2006-07-22 |
| 1528087418 | Mercy Clinics Inc | Clinic/Center | 307 E. Scenic Valley Ave, Indianola, IA 50125-4865 | 2006-07-19 |
| 1619259876 | Mercy Clinics Inc | Clinic/Center | 2501 Westown Pkwy, Suite 1103, West Des Moines, IA 50266-1427 | 2011-09-14 |
| Street Address |
112 E DETROIT AVE |
| City | INDIANOLA |
| State | IA |
| Zip Code | 50125-1860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023026689 | Gary Janssen | Family Medicine | 112 E Detroit Ave, Indianola, IA 50125-1860 | 2006-08-03 |
| 1558379107 | Ben Gaumer | Family Medicine | 112 E Detroit Ave, Indianola, IA 50125-1860 | 2006-08-03 |
| 1407864002 | Eileen May | Family Medicine | 112 E Detroit Ave, Indianola, IA 50125-1860 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316583107 | Mach3 Physical Therapy and Wellness | Clinic/Center | 938 East Hillcrest Ave, Suite A, Indianola, IA 50125 | 2019-11-27 |
| 1023667995 | Bonnie Dufault | Technician | 2402 West Euclid Ave, Indiana, IA 50125 | 2019-09-04 |
| 1407307499 | Traci Rudolf-hanrahan | Social Worker | 310 North Buxton Street, Indianola, IA 50125 | 2016-10-14 |
| 1548544216 | Long Term Medical Supply Corp | Durable Medical Equipment & Medical Supplies | 126 N Howard St, Suite 102, Indianola, IA 50125 | 2011-09-29 |
| 1629272836 | Michael James Hadden | Specialist/Technologist | Simpson College, 701 North C Street, Indianola, IA 50125 | 2007-06-12 |
| 1245440221 | Indianola Ia Assisted Living | Assisted Living Facility | 608 South 15th St., Indianola, IA 50125 | 2007-05-22 |
| 1689769432 | Michele Tingle | Emergency Medicine | 9128 87th Ln, Indianola, IA 50125 | 2006-10-04 |
| 1538114764 | Sue Marie Peterson | Specialist/Technologist | 1507 N 1st St, Indianola, IA 50125 | 2006-05-24 |
| 1124079934 | Jonathan P Anderson | Optometrist | 225 W Ashland, Ste 1, Indianola, IA 50125 | 2006-05-15 |
| 1528025533 | Jessica A Espenmiller | Occupational Therapist | 1507 North 1st St, Indianola, IA 50125 | 2006-04-26 |
| Find all providers in zip 50125 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760005110 | Barbra Ellen Faux | Family Medicine | 1007 W 3rd Ave Apt 115, Indianola, IA 50125-3172 | 2020-05-20 |
| 1104213107 | Katie Kay Dunbar | Family Medicine | 1501 N 1st St, Indianola, IA 50125-3703 | 2015-04-17 |
| 1851309082 | Renee Staudacher | Family Medicine | 108 N Jefferson Way, Indianola, IA 50125-2616 | 2006-08-03 |
| 1912915257 | Robert Moran | Family Medicine | 307 E. Scenic Valley Avenue, Indianola, IA 50125-4865 | 2006-08-03 |
| 1942298088 | Chris Robert Jensen | Family Medicine | 301 E Hillcrest Ave, Indianola, IA 50125-9027 | 2005-10-12 |
| 1841285764 | William Wade Dowell | Family Medicine | 122 E Baker St, Indianola, MS 38751-2451 | 2005-09-16 |
| 1568464220 | Scott D. Hoffman | Family Medicine | 307 E Scenic Valley Ave, Indianola, IA 50125-4865 | 2005-08-12 |
| 1336709872 | Hadonica H Murphy | Family Medicine | 121 E Baker St, Indianola, MS 38751-2450 | 2019-06-17 |
| 1912358862 | Geoffrey Mark Dankle | Family Medicine | 307 E Scenic Valley Ave, Indianola, IA 50125-4865 | 2016-06-22 |
| 1881088342 | Megan Lehr | Family Medicine | 1504 N 1st St, Indianola, IA 50125 | 2015-03-23 |
| Find all providers in INDIANOLA | ||||
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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.