JEROME R. GREENBERG, O.D., P.C. (NPI# 1326294463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326294463 |
| Entity Type | Organization |
| Organization Name | JEROME R. GREENBERG, O.D., P.C. |
| Practice Address |
1242 E 14th St Des Moines IA 50316-2402 |
| Practice Telephone | 5152630295 |
| Practice Fax Number | 5152630115 |
| Mailing Telephone | 5152630295 |
| Mailing Fax Number | 5152630115 |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2008-10-27 |
| Authorized Official Name | DR. JEROME RICHARD GREENBERG (PRESIDENT) |
| Authorized Official Telephone | 5152630295 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 01709 | IA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | TRIWEST | 0000 | 01 |
| IA | WELLMARK BLUE SHIELD | 17996 | 01 |
| IA | MUTUAL OF OMAHA | 17996 | 01 |
| IA | COVENTRY ADVANTRA | 81376 | 01 |
| IA | UNITED HEALTHCARE OF THE RIVER VALLEY | IA0101 | 01 |
| IA | FIRST ADMINISTRATORS | 17996 | 01 |
| IA | MIDLANDS CHOICE | 6155 | 01 |
| IA | ADVANTRA FREEDOM | 81376 | 01 |
| IA | RAILROAD MEDICARE | 410020694 | 01 |
| IA | 0005314 | 05 | |
| IA | COVENTRY HEALTHCARE | 81376 | 01 |
| Street Address |
1242 E 14TH ST |
| City | DES MOINES |
| State | IA |
| Zip Code | 50316-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841286176 | Jerome Richard Greenberg | Optometrist | 1242 E 14th St, Des Moines, IA 50316-2402 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1154928497 | Yeshua Reentry and Recovery Center Inc | Community Health Worker | 1235 Sampson St, Des Moines, IA 50316 | 2020-10-08 |
| 1639594484 | Tripti Kaul | Dentist | 1345 E. University Avenue, #302, Des Moines, IA 50316 | 2014-03-03 |
| 1184979023 | Ashley Marie Mundt | Physical Therapist | 710 Riverview Street, Des Moines, IA 50316 | 2012-07-17 |
| 1942562020 | Angela Maria Runkel | Nurse Practitioner | 1201 Penn Avenue, Penn Avenue Internal Medicine, Des Moines, IA 50316 | 2012-06-13 |
| 1821390121 | Recovercare LLC | Durable Medical Equipment & Medical Supplies | 2117 Dixon St, Des Moines, IA 50316 | 2010-11-19 |
| 1588838841 | Leenu Mishra | Psychiatry & Neurology | 700 East University Ave 3 West, Blank Childrens Psychiatry, Des Moines, IA 50316 | 2008-04-17 |
| 1477721686 | Kristin K Horning | Pharmacist | 840 East University Avenue, Des Moines, IA 50316 | 2008-02-11 |
| 1770695488 | Terrance O Kurtz | Internal Medicine | 2100 Dixon, Suite E Concentra Clinic, Des Moines, IA 50316 | 2006-08-31 |
| 1487281085 | Timothy Andrew Flynn | Behavioral Analyst | 1301 Pennsylvania Ave, Suite #305, Des Moines, IA 50316 | 2020-03-24 |
| Find all providers in zip 50316 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374712 | Michael Richard Anderson | Clinic/Center | 2560 Hubbell Ave, Des Moines, IA 50317-6102 | 2020-07-23 |
| 1043502743 | Mercy Clinics, Inc | Clinic/Center | 330 Laurel St Ste 1200, Des Moines, IA 50314-3044 | 2011-05-12 |
| 1699067397 | Mercy Clinics, Inc | Clinic/Center | 411 Laurel St Ste 2225, Des Moines, IA 50314-3002 | 2011-05-12 |
| 1851545800 | Dr. Jeffrey L. Koenen, PC | Clinic/Center | 801 Grand Ave Ste 350, Des Moines, IA 50309-8010 | 2008-11-04 |
| 1699962159 | Mercy Clinics Nurse Practitioners | Clinic/Center | 1111 6th Ave., 2nd Floor, Des Moines, IA 50314-2610 | 2007-09-28 |
| 1255385852 | Millennium Rehab & Consulting, Inc. | Clinic/Center | 4725 Merle Hay Rd, Suite 101, Des Moines, IA 50322-1983 | 2006-05-19 |
| 1104484799 | Mercy Clinics, Inc. | Clinic/Center | 1350 Des Moines St Ste 100, Des Moines, IA 50309-5507 | 2019-05-30 |
| 1982999025 | Hanisch Family Chiropractic PC | Clinic/Center | 4539 Douglas Ave, Suite A, Des Moines, IA 50310-2711 | 2011-06-16 |
| 1205142692 | Mercy Clinics Inc | Clinic/Center | 604 Locust St, Suite 210, Des Moines, IA 50309-3705 | 2010-08-24 |
| 1346406816 | Mdcc, PC | Clinic/Center | 5525 Meredith Dr, Ste B, Des Moines, IA 50310-2334 | 2008-08-04 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50316 |
Please comment or provide details below to improve the information on JEROME R. GREENBERG, O.D., P.C..
| 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.