COLLIN EUGENE PEHDE (NPI# 1740272491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740272491 |
| Entity Type | Individual |
| Full Name | COLLIN EUGENE PEHDE |
| Credential | D.P.M. |
| Practice Address |
3200 Grand Ave Des Moines IA 50312 |
| Mailing Address |
3200 Grand Ave Des Moines IA 50312-4104 |
| Practice Telephone | 5152711731 |
| Practice Fax Number | 5152711714 |
| Mailing Telephone | 5152711731 |
| Mailing Fax Number | 5152711714 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2019-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
2166 | TX | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
00782 | IA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | RR MEDICARE | P01045640 | 01 |
| IA | 1912278490 | 05 | |
| TX | BLUE CROSS BLUE SHIELD OF TEXAS | 8FL880 | 01 |
| IA | WELLMARK BCBS | 1912278490 | 01 |
| TX | 352540401 | 05 | |
| TX | MEDICARE PTAN | 447448ZRNC | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9055 Katy Fwy, # 460, Houston, TX 770241624 | 7134611010 | 7139737200 |
| Street Address |
3200 GRAND AVE |
| City | DES MOINES |
| State | IA |
| Zip Code | 50312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306838297 | Traci Ann Bush | Physical Therapist | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2005-08-17 |
| 1649889155 | Margaret Grace Meyer | Student in an Organized Health Care Education/Training Program | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2020-07-30 |
| 1811514128 | Alexis Hanson | Student in an Organized Health Care Education/Training Program | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2020-07-02 |
| 1154945038 | Benjamin Bogert | Student in an Organized Health Care Education/Training Program | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2020-06-05 |
| 1568086205 | Bergen Schattschneider | Student in an Organized Health Care Education/Training Program | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2020-05-28 |
| 1295354991 | Haley Hicks | Student in an Organized Health Care Education/Training Program | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2020-04-13 |
| 1306465547 | Nelson Sham | Student in an Organized Health Care Education/Training Program | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2020-04-08 |
| 1982232310 | Lauren Rank | Student in an Organized Health Care Education/Training Program | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2020-03-31 |
| 1831727486 | Autumn Luger | Student in an Organized Health Care Education/Training Program | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2020-03-30 |
| 1073141875 | Allysa Moran | Student in an Organized Health Care Education/Training Program | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2020-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837976 | Devon Anderson | Student in an Organized Health Care Education/Training Program | Des Moines University Pa Program, 3200 Grand, Des Moines, IA 50312 | 2020-03-27 |
| 1578190583 | Christian Ostrander | Student in an Organized Health Care Education/Training Program | Des Moines University-pa Program 3200 Grand Avenue, Des Moines, IA 50312 | 2020-03-27 |
| 1194209312 | Margaret Dedecker | Speech-Language Pathologist | 644 24th St., Des Moines, IA 50312 | 2018-09-24 |
| 1942702410 | Nelson-kirby Therapy & Consulting Services, LLC | Marriage & Family Therapist | 3900 Ingersoll Avenue Suite 108, Des Moines, IA 50312 | 2018-03-01 |
| 1851839864 | Lawrence Scanlon | Counselor | 412 42nd St, Des Moines, IA 50312 | 2017-02-09 |
| 1104275122 | Melissa Joshel | Social Worker | 2116 Grand Ave Ste 2, Des Moines, IA 50312 | 2016-06-09 |
| 1629435813 | Abby Michele Miller | Acupuncturist | 531 40th Street, Des Moines, IA 50312 | 2016-01-20 |
| 1326410689 | Dawn Theresa Corriere | Advanced Practice Midwife | 3714 Ingersoll Ave, Des Moines, IA 50312 | 2015-10-27 |
| 1336558154 | Paul Johnston | Counselor | 600 42nd Street, Des Moines, IA 50312 | 2014-08-06 |
| 1083847214 | Mark David Ravreby | Internal Medicine | 3663 Grand Ave, #204, Des Moines, IA 50312 | 2009-09-04 |
| Find all providers in zip 50312 | ||||
| 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 | 50312 |
Please comment or provide details below to improve the information on COLLIN EUGENE PEHDE.
| 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.