MR. LEENHAPONG NAVARAVONG (NPI# 1396937363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396937363 |
| Entity Type | Individual |
| Full Name | MR. LEENHAPONG NAVARAVONG |
| Credential | M.D. |
| Practice Address |
1215 Pleasant St Ste 414 Des Moines IA 50309-1416 |
| Practice Telephone | 5152415700 |
| Practice Fax Number | 5152415775 |
| Mailing Telephone | 5152415700 |
| Mailing Fax Number | 5152415775 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2018-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD-42118 | IA | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
42118 | IA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | RR MEDICARE | P01437247 | 01 |
| IA | 1396937363 | 05 |
| Street Address |
1215 PLEASANT ST STE 414 |
| City | DES MOINES |
| State | IA |
| Zip Code | 50309-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932106044 | Tammy Kay Colegrove | Nurse Practitioner | 1215 Pleasant St, Suite 506, Des Moines, IA 50309-1416 | 2005-07-05 |
| 1902350812 | Blank Cancer & Blood Disorders Center | Clinic/Center | 1215 Pleasant St, Suite 514, Des Moines, IA 50309-1416 | 2016-08-09 |
| 1881019719 | Renae S Jones | Counselor | 1215 Pleasant St, Suite 303, Des Moines, IA 50309-1416 | 2014-03-01 |
| 1427480433 | Nicole Marie Ness | Physician Assistant | 1215 Pleasant St, Suite 414, Des Moines, IA 50309-1416 | 2013-07-31 |
| 1861755985 | Cassandra R Burch | Physician Assistant | 1215 Pleasant St, Ste 608, Des Moines, IA 50309-1416 | 2012-06-22 |
| 1689962284 | Shardul Poudyal | Internal Medicine | 1215 Pleasant St, Suite 206, Des Moines, IA 50309 | 2011-07-16 |
| 1457647257 | Laura K Leverenz | Physician Assistant | 1215 Pleasant St, Ste 608, Des Moines, IA 50309 | 2011-06-21 |
| 1497054662 | Ryan Scott Tomlinson | Internal Medicine | 1215 Pleasant St, Ste 206, Des Moines, IA 50309 | 2011-03-27 |
| 1245533348 | Wendy Tillgren | Social Worker | 1215 Pleasant St, Suite 303, Des Moines, IA 50309-1416 | 2010-12-10 |
| 1982919817 | Susan Lathrop | Nurse Practitioner | 1215 Pleasant St, Blank Children's Hospital, Des Moines, IA 50309-1416 | 2010-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126894 | Marie Danielle Leblanc | Surgery | Anna Blank Building, Level 2, Dept Pediatric Surgery, 1206 Pleasant Street, Des Moines, IA 50309 | 2020-05-27 |
| 1538710421 | Macy Mckendree | Social Worker | 918 Se 11th St., Des Moines, IA 50309 | 2019-09-23 |
| 1750938825 | Paradocs Psychological Services | Clinic/Center | 1400 Walnut St #110, Onyx Business, Des Moines, IA 50309 | 2019-08-22 |
| 1003315011 | Hyvacs, LLC | Durable Medical Equipment & Medical Supplies | 215 10th St Ste 110, Des Moines, IA 50309 | 2018-02-05 |
| 1770005746 | Jacob Michael Boyle | Chiropractor | 500 Sw 7th St Ste 205, Des Moines, IA 50309 | 2017-07-12 |
| 1831646140 | Innovative Transport Enterprise, LLC | Non-emergency Medical Transport (VAN) | 309 Court Ave, Ste 811, Des Moines, Ia, 50309, Ste 811, Des Moines, IA 50309 | 2016-09-02 |
| 1457807000 | Patricia Bularzik | Social Worker | 808 5th Avenue, Des Moines, IA 50309 | 2016-09-01 |
| 1396128492 | Sarah Lynn Cavan | Social Worker | 1301 Center, Eyerly Ball Community Mental Health Center, Des Moines, IA 50309 | 2015-07-07 |
| 1104204056 | Andrea Lynn Jones | Social Worker | 600 E Court Ste 200, Des Moines, IA 50309 | 2015-05-12 |
| 1811388937 | Matthew Zirretta | Physical Therapist | 1515 Linden Street, 1st Floor, Integrated Physical Therapy & Sports Medicine, Des Moines, IA 50309 | 2015-02-11 |
| Find all providers in zip 50309 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164410932 | Iowa Heart Center PC | Internal Medicine | 5880 University Ave, West Des Moines, IA 50266-8220 | 2005-10-06 |
| 1023427820 | Kanishk Agnihotri | Internal Medicine | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2014-08-05 |
| 1750518478 | Jason Meyers | Internal Medicine | 5880 University Ave Ste 112, West Des Moines, IA 50266-8209 | 2009-06-20 |
| 1184737876 | St. Luke's Methodist Hospital | Internal Medicine | 1026 A Ave Ne, Suite 5000, Cedar Rapids, IA 52402-5036 | 2006-08-16 |
| 1336128354 | Michael C Giudici | Internal Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2006-01-10 |
| 1881673721 | Kent J Van Why | Internal Medicine | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2473 | 2006-01-10 |
| 1750360616 | Blair W Foreman | Internal Medicine | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2473 | 2006-01-10 |
| City | DES MOINES |
| Zip Code | 50309 |
Please comment or provide details below to improve the information on MR. LEENHAPONG NAVARAVONG.
| 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.