DR. MICHAEL R LINE (NPI# 1881779684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881779684 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL R LINE |
| Credential | MD |
| Practice Address |
1200 Pleasant Street Blank Children's Hospital Des Moines IA 50309-1453 |
| Practice Telephone | 5152415926 |
| Practice Fax Number | 5152415127 |
| Mailing Telephone | 5152415926 |
| Mailing Fax Number | 5152415127 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2009-06-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 38276 | IA | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
42848 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 88803813 | 05 | |
| IA | 1881779684 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518000587 | Michael J. Line | Physician Assistant | 133 E. Lansing Rd., Potterville, MI 48876 | 2007-02-15 |
| Street Address |
1200 PLEASANT STREET BLANK CHILDREN'S HOSPITAL |
| City | DES MOINES |
| State | IA |
| Zip Code | 50309-1453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821058868 | Jill M Jasper | Pediatrics | 1200 Pleasant Street, Blank Children's Hospital, Des Moines, IA 50309 | 2006-03-24 |
| 1831724095 | Lindy Gasperi | Pharmacist | 1200 Pleasant Street, Department of Pharmacy, Des Moines, IA 50309-1406 | 2020-03-09 |
| 1205250628 | John Sheldahl | Physical Therapist | 1200 Pleasant Street, South 2 Room 236, Des Moines, IA 50309-1406 | 2014-02-05 |
| 1770871824 | Central Iowa Hospital Corporation | Family Medicine | 1200 Pleasant Street, Des Moines, IA 50309-1453 | 2011-07-11 |
| 1215223847 | Michelle M Ewest | Pediatrics | 1200 Pleasant Street, Blank Children's Hospital - Pediatric Emergency, Des Moines, IA 50309 | 2011-06-22 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780176305 | Jorie Muraida | Pediatrics | 1200 Pleasant St # 566, Des Moines, IA 50309-1453 | 2018-05-30 |
| 1689952111 | Julius Stanley Conner I | Pediatrics | 801 School Street, Corinthian Free Clinic, Des Moines, IA 50309-1207 | 2011-08-02 |
| 1730477407 | Salim Hommeida | Pediatrics | 1215 Pleasant St Ste 600, Des Moines, IA 50309-1409 | 2011-07-15 |
| 1104117522 | Akinbode Solomon Egbelakin | Pediatrics | 1111 6th Ave # Main3, Des Moines, IA 50314 | 2011-04-20 |
| 1306005152 | Melodee Sue Woodard | Pediatrics | 535 Sw 7th St, Des Moines, IA 50309-4535 | 2008-06-06 |
| 1891952552 | Nicholas John Fustino | Pediatrics | 1215 Pleasant St Ste 514, Des Moines, IA 50309-1418 | 2008-05-20 |
| 1265609234 | Asit Kumar Tripathy | Pediatrics | 1215 Pleasant St., Ste. 116, Des Moines, IA 50309-1453 | 2008-05-09 |
| 1639225311 | Amy E. Shriver | Pediatrics | 1212 Pleasant St., Suite 300, Des Moines, IA 50309-1453 | 2007-01-26 |
| 1093786345 | Kenneth Wlson Talcott | Pediatrics | 2301 Beaver Ave, Des Moines, IA 50310-3903 | 2006-01-26 |
| 1407836513 | Nathan Ross Noble | Pediatrics | 1200 Pleasant St., Des Moines, IA 50309-1453 | 2006-01-17 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50309 |
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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.