BROADLAWNS MEDICAL CENTER (NPI# 1306068754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306068754 |
| Entity Type | Organization |
| Organization Name | BROADLAWNS MEDICAL CENTER |
| Other Organization Name | CRNA |
| Practice Address |
1801 Hickman Road Des Moines IA 50314-1548 |
| Mailing Address |
1801 Hickman Rd Des Moines IA 50314-1548 |
| Practice Telephone | 5152822200 |
| Mailing Telephone | 5152822200 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-09-30 |
| Authorized Official Name | VINCENT J MANDRACCHIA (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 5152822562 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 2785 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | COVENTRY | 29705 | 01 |
| IA | JOHN DEERE, UHC RIVER VAL | A5031401 | 01 |
| IA | 0601013 | 05 | |
| IA | 0265959 | 05 | |
| IA | TRICARE | 20023 | 01 |
| IA | AETNA | 6230290 | 01 |
| Other Name | Type Code |
|---|---|
| CRNA | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609951144 | Broadlawns Medical Center | Community Based Residential Treatment Facility, Mental Illness | 1812 Oakland Ave, Des Moines, IA 50314-3329 | 2006-10-25 |
| 1336224872 | Broadlawns Medical Center | Community Based Residential Treatment Facility, Mental Illness | 1730 Arlington Ave, Des Moines, IA 50314-3311 | 2006-10-25 |
| 1578002382 | Broadlawns Medical Center | Psychiatric Unit | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2017-02-14 |
| 1467850727 | Broadlawns Medical Center | Clinic/Center | 507 14th St, Dallas Center, IA 50063-7738 | 2014-12-18 |
| 1235541434 | Broadlawns Medical Center | Eyewear Supplier (Equipment, not the service) | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2014-05-22 |
| 1063795672 | Broadlawns Medical Center | Psychiatric Hospital | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2011-09-21 |
| 1669784104 | Broadlawns Medical Center | Community/Behavioral Health | 1801 Hickman Rd, Des Moines, IA 50314 | 2010-07-13 |
| 1265683718 | Broadlawns Medical Center | Nurse Practitioner | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2008-10-02 |
| 1962662379 | Broadlawns Medical Center | Psychologist | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2008-06-10 |
| 1013197060 | Broadlawns Medical Center | Pharmacy | 1801 Hickman Road, Des Moines, IA 50314 | 2007-11-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | BROADLAWNS MEDICAL CENTER FOUNDATION | Broadlawns Medical Center, 1801 Hickman Road, Des Moines, IA 50314 |
| Iowa Business Entities | BROADLAWNS MEDICAL CENTER GUILD | 1801 Hickman Road, Des Moines, IA 50314 |
| Street Address |
1801 HICKMAN ROAD |
| City | DES MOINES |
| State | IA |
| Zip Code | 50314-1548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457357642 | Roy Alden Hart | Specialist | 1801 Hickman Road, Broadlawns Medical Center, Des Moines, IA 50314 | 2005-06-22 |
| 1932668639 | Rochean Cofield | Social Worker | 1801 Hickman Road, Des Moines, IA 50314-1597 | 2019-03-13 |
| 1487183893 | Alyssa Kate Plouzek | Radiology | 1801 Hickman Road, Des Moines, IA 50314 | 2017-06-08 |
| 1578092839 | Daniel Agraz | Ophthalmology | 1801 Hickman Road, Des Moines, IA 50314 | 2017-06-08 |
| 1801131461 | Meredith Dallas Olson | Nurse Practitioner | 1801 Hickman Road, Des Moines, IA 50314-1597 | 2012-12-06 |
| 1962706168 | Joyce Mischel | Family Medicine | 1801 Hickman Road, Des Moines, IA 50314-1975 | 2011-01-03 |
| 1245466424 | Megan M Norris | Pediatrics | 1801 Hickman Road, Des Moines, IA 50314-1597 | 2009-06-02 |
| 1245495027 | Juliet Anne Bles | Social Worker | 1801 Hickman Road, Broadlawns Medical Center, Des Moines, IA 50314 | 2008-07-22 |
| 1013197060 | Broadlawns Medical Center | Pharmacy | 1801 Hickman Road, Des Moines, IA 50314 | 2007-11-07 |
| 1669693917 | Broadlawns Medical Center | Podiatrist | 1801 Hickman Road, Des Moines, IA 50314-1548 | 2007-05-02 |
| 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 | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912070764 | Thomas Gerad Klein | Anesthesiology | 450 Laurel St Ste A, Des Moines, IA 50314-3045 | 2006-11-16 |
| 1467432013 | Robert Alan Jerstad | Anesthesiology | 411 Laurel Street, Suite 3170, Des Moines, IA 50314 | 2006-01-19 |
| 1811977853 | John Duane Paszek | Anesthesiology | 411 Laurel St Ste 3170, Des Moines, IA 50314-3005 | 2006-01-17 |
| 1417334962 | John Williams | Anesthesiology | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2015-05-05 |
| 1508179615 | Donald Lee Harker | Anesthesiology | 700 E University Ave, Des Moines, IA 50316-2302 | 2010-07-17 |
| 1760705800 | Sinyoung Kay Kang | Anesthesiology | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2010-03-03 |
| 1952537789 | Samuel Hartman | Anesthesiology | 411 Laurel St, Suite 3170, Des Moines, IA 50314-3017 | 2009-06-08 |
| 1346408952 | Justin Ronald Newton Rosenow | Anesthesiology | 411 Laurel St, Suite 3170, Des Moines, IA 50314-3017 | 2008-05-30 |
| 1487847232 | United Anesthesia & Pain Control PC | Anesthesiology | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2007-08-24 |
| 1376733113 | Jessica D Lorenz | Anesthesiology | 411 Laurel St Ste 3170, Des Moines, IA 50314-3005 | 2007-07-27 |
| Find all providers in DES MOINES | ||||
| 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.