ALAN RANDAL BOLLINGER (NPI# 1295830115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295830115 |
| Entity Type | Individual |
| Full Name | ALAN RANDAL BOLLINGER |
| Credential | DO |
| Practice Address |
3509 E 29th St Des Moines IA 50317 |
| Mailing Address |
1200 University Ave Ste 200 Des Moines IA 50314-2355 |
| Practice Telephone | 5152481600 |
| Practice Fax Number | 5152481610 |
| Mailing Telephone | 5152481447 |
| Mailing Fax Number | 5152481440 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2018-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
DO-02348 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | MEDICARE PTAN IB3072001 | 1295830115 | 01 |
| IA | 0421628 | 05 |
| Street Address |
3509 E 29TH ST |
| City | DES MOINES |
| State | IA |
| Zip Code | 50317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558353474 | Ronnie Hawkins | Family Medicine | 3509 E 29th St, Des Moines, IA 50317-4253 | 2005-08-17 |
| 1730793936 | Rebekah Rose Wright | Social Worker | 3509 E 29th St, Des Moines, IA 50317-4253 | 2020-09-04 |
| 1326515297 | Erin N Hernandez | Nurse Practitioner | 3509 E 29th St, Des Moines, IA 50317-4253 | 2018-10-30 |
| 1700361227 | Mary Ann Mercedes Be | Nurse Practitioner | 3509 E 29th St, Des Moines, IA 50317-4253 | 2018-10-01 |
| 1588196778 | Emily Zambrano-andrews | Advanced Practice Midwife | 3509 E 29th St, Des Moines, IA 50317-4253 | 2017-03-28 |
| 1952840340 | Sarah Schaaf | Nurse Practitioner | 3509 E 29th St, Des Moines, IA 50317-4253 | 2017-02-17 |
| 1578005740 | Caitlin M Hainley | Advanced Practice Midwife | 3509 E 29th St, Des Moines, IA 50317-4253 | 2016-11-04 |
| 1891146999 | Becky L Johnson | Nurse Practitioner | 3509 E 29th St, Des Moines, IA 50317-4253 | 2016-06-29 |
| 1265897698 | Katherine Bowersox | Nurse Practitioner | 3509 E 29th St, Des Moines, IA 50317-4253 | 2015-12-30 |
| 1558747782 | Kirby Mae Nelson | Registered Nurse | 3509 E 29th St, Des Moines, IA 50317-4253 | 2015-08-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518239128 | William Shane Lounsbery | Counselor | 2824 E 38th Street, Des Moines, IA 50317 | 2012-01-30 |
| 1710275904 | Jessica Lyn Deboom | Counselor | C/o Prairie Wellness, 3209 Ingersoll Ave Ste 100, Des Moines, IA 50317 | 2011-07-21 |
| 1871724161 | Tonya Norvell Diehn | Physician Assistant | 3509 E 29th Street, Des Moines, IA 50317 | 2009-08-04 |
| 1578688545 | Adam Fredrick Fuller | Dentist | 3223 E 29th Street, Des Moines, IA 50317 | 2007-03-20 |
| 1902938699 | C Fredrick Fuller | Dentist | 3223 E 29th St, Des Moines, IA 50317 | 2007-03-09 |
| 1164593596 | Darrin E Ausman | Occupational Therapist | 2918 East University Avenue, Des Moines, IA 50317 | 2006-11-09 |
| 1386715720 | Laura Anne Henry | Physical Therapist | 2918 East University Aveneue, Des Moines, IA 50317 | 2006-11-09 |
| 1295784494 | James A Blasco | Optometrist | 2566 Hubbell Ave, Des Moines, IA 50317 | 2006-05-08 |
| 1457327116 | Danice Franchelle Klimek | Internal Medicine | 2524 E 42nd St, Des Moines, IA 50317 | 2006-02-23 |
| 1881699486 | Hospice of Central Iowa | Hospice Care, Community Based | 3000 Easton Blvd, Des Moines, IA 50317 | 2005-06-20 |
| Find all providers in zip 50317 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952542557 | Center for Behavioral Health Iowa, Inc. | Family Medicine | 1200 University Ave Ste 106, Des Moines, IA 50314-2330 | 2009-03-12 |
| 1447226840 | Kenneth H Moon Jr | Family Medicine | 2301 East 14th Street, Des Moines, IA 50316-1901 | 2006-02-24 |
| 1780650010 | Dennis A Weis | Family Medicine | 700 E University Ave, Des Moines, IA 50316-2302 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255655635 | David Gerhardt Paulsrud | Family Medicine | 800 5th St, Sioux City, IA 51101-1317 | 2010-03-15 |
| City | DES MOINES |
| Zip Code | 50317 |
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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.