BROADLAWNS MEDICAL CENTER (NPI# 1669693917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669693917 |
| Entity Type | Organization |
| Organization Name | BROADLAWNS MEDICAL CENTER |
| Practice Address |
1801 Hickman Road Des Moines IA 50314-1548 |
| Practice Telephone | 5152822200 |
| Mailing Telephone | 5152822200 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | VINCENT J MANDRACCHIA (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 5152822562 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
000581 | IA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | TRICARE | 20023 | 01 |
| IA | JOHN DEERE, UHC RIVER VAL | A5031401 | 01 |
| IA | COVENTRY | 29705 | 01 |
| IA | IOWA CARE | 2601013 | 01 |
| IA | 0432567 | 05 | |
| IA | AETNA | 6230290 | 01 |
| 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 |
| 1306068754 | Broadlawns Medical Center | Anesthesiology | 1801 Hickman Road, Des Moines, IA 50314-1548 | 2007-05-03 |
| 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 | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578189296 | Linda Bratkiewicz Podiatry Pllc | Podiatrist | 1301 Pennsylvania Ave Ste 115, Des Moines, IA 50316-2364 | 2020-06-18 |
| 1912278490 | Collin E. Pehde Dpm, Pllc | Podiatrist | 500 E Court Ave, Suite 314, Des Moines, IA 50309-2057 | 2012-01-16 |
| 1912285479 | Joshua R Modlin | Podiatrist | 4214 Fleur Dr Ste 7, Des Moines, IA 50321-2300 | 2011-08-01 |
| 1306175104 | Justin J. Raatz | Podiatrist | 500 E Court Ave Ste 314, Des Moines, IA 50309-2057 | 2009-12-08 |
| 1285244418 | Arch Foot and Ankle, P.C. | Podiatrist | 1301 Pennsylvania Ave Ste 115, Des Moines, IA 50316-2364 | 2020-08-03 |
| 1053869784 | Candice Cooper | Podiatrist | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2016-09-11 |
| 1174976948 | Justin J Raatz, Dpm Pllc | Podiatrist | 500 E Court Ave, Suite 314, Des Moines, IA 50309-2057 | 2016-07-18 |
| 1548611064 | Steven Ostiguy | Podiatrist | 500 E Court Ave Ste 314, Des Moines, IA 50309 | 2016-06-27 |
| 1942614367 | Dpmmodlinpria LLC | Podiatrist | 1111 E Army Post Rd, Suite 470, Des Moines, IA 50315-5970 | 2014-06-13 |
| 1336589662 | John G Erickson | Podiatrist | 1415 Woodland Ave, Suite 140, Des Moines, IA 50309-3203 | 2013-07-01 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50314 |
Please comment or provide details below to improve the information on BROADLAWNS MEDICAL CENTER.
| 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.