MERCY PROFESSIONAL PRACTICE ASSOCIATES, INC (NPI# 1548400997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548400997 |
| Entity Type | Organization |
| Organization Name | MERCY PROFESSIONAL PRACTICE ASSOCIATES, INC |
| Other Organization Name | MERCY ADULT HOSPITALISTS |
| Practice Address |
1111 6th Ave 4 South Des Moines IA 50314-2613 |
| Mailing Address |
Po Box 4925 Des Moines IA 50305-4925 |
| Practice Telephone | 5156438672 |
| Practice Fax Number | 5156432784 |
| Mailing Telephone | 5156434374 |
| Mailing Fax Number | 5156432784 |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2009-10-13 |
| Authorized Official Name | DAVID VELLINGA (PRESIDENT AND CEO) |
| Authorized Official Telephone | 5152474278 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mercy Adult Hospitalists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326323189 | Mercy Professional Practice Associates, Inc | Clinic/Center | 1750 48th St, Suite 2, Des Moines, IA 50310-1988 | 2011-10-12 |
| 1649559980 | Mercy Professional Practice Associates, Inc | Surgery | 1111 6th Ave, Des Moines, IA 50314-2613 | 2011-08-04 |
| 1669601787 | Mercy Professional Practice Associates, Inc | Physical Medicine & Rehabilitation | 1111 6th Ave, Suite B3, Des Moines, IA 50314-2613 | 2009-07-10 |
| Street Address |
1111 6TH AVE 4 SOUTH |
| City | DES MOINES |
| State | IA |
| Zip Code | 50314-2613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790785004 | Keven Odell Cutler | Emergency Medicine | 1111 6th Ave, Emergency Dept, Des Moines, IA 50314-2613 | 2005-07-28 |
| 1508470014 | Tammie Jordan | Pharmacist | 1111 6th Ave, Des Moines, IA 50314-2613 | 2020-09-02 |
| 1942812243 | Samantha Marie Ulsh | Nurse Practitioner | 1111 6th Ave, Des Moines, IA 50314-2613 | 2020-08-18 |
| 1962020677 | Jordyn Hauser | Dietitian, Registered | 1111 6th Ave, Des Moines, IA 50314-2613 | 2020-07-09 |
| 1659996528 | Doh Joon Park | Internal Medicine | 1111 6th Ave, Des Moines, IA 50314-2613 | 2020-06-16 |
| 1508481623 | Maianh T Tran | Surgery | 1111 6th Ave, Des Moines, IA 50314-2613 | 2020-06-15 |
| 1083239081 | Max E Reiche | Family Medicine | 1111 6th Ave, Des Moines, IA 50314-2613 | 2020-06-15 |
| 1760007488 | Obidike P Nwadike | Family Medicine | 1111 6th Ave, Des Moines, IA 50314-2613 | 2020-06-09 |
| 1154945970 | Jason C Wang | Internal Medicine | 1111 6th Ave, Des Moines, IA 50314-2613 | 2020-06-08 |
| 1588288435 | Elliot M Deblieck | Family Medicine | 1111 6th Ave, Des Moines, IA 50314-2613 | 2020-06-05 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1588226104 | Laura Sue Kersey | Internal Medicine | 1212 Pleasant St Ste 110, Des Moines, IA 50309-1410 | 2019-07-03 |
| 1669948568 | Parabolic Health Pllc | Internal Medicine | 19809 8th Ave S, Des Moines, WA 98148-2246 | 2018-10-17 |
| 1245764752 | Joel Fuchs | Internal Medicine | 3600 30th St # 451, Des Moines, IA 50310-5753 | 2017-04-12 |
| 1780066746 | Ashley Priaulx | Internal Medicine | 1415 Woodland Ave Ste 140, Des Moines, IA 50309-3203 | 2015-06-25 |
| 1306238605 | Greggory Stan Flint | Internal Medicine | 1215 Pleasant St Ste 400, Des Moines, IA 50309-1418 | 2015-02-23 |
| 1245632298 | Progenity Whole Health Inc. | Internal Medicine | 95 University Ave Ste 1, Des Moines, IA 50314-3120 | 2014-09-22 |
| 1700147378 | Chan H Park | Internal Medicine | 22226 Cliff Ave S, #304, Des Moines, WA 98198-4619 | 2012-05-30 |
| 1417214321 | Leah Jeanine Brandon | Internal Medicine | 330 Laurel St Ste 2100, Des Moines, IA 50314-3068 | 2012-04-16 |
| 1417244542 | Rossana M Rosa Espinoza | Internal Medicine | 1221 Pleasant St Ste 300, Des Moines, IA 50309-1426 | 2011-07-10 |
| 1083847214 | Mark David Ravreby | Internal Medicine | 3663 Grand Ave, #204, Des Moines, IA 50312 | 2009-09-04 |
| 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.