BLANK CANCER & BLOOD DISORDERS CENTER (NPI# 1902350812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902350812 |
| Entity Type | Organization |
| Organization Name | BLANK CANCER & BLOOD DISORDERS CENTER |
| Practice Address |
1215 Pleasant St Suite 514 Des Moines IA 50309-1416 |
| Practice Telephone | 5152418042 |
| Practice Fax Number | 5152418988 |
| Mailing Telephone | 5152418042 |
| Mailing Fax Number | 5152418988 |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |
| Authorized Official Name | DR. KATHRYN NICOLE JUHL (PEDIATRIC ONCOLOGY PHARMACIST) |
| Authorized Official Telephone | 5152418042 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0200X |
Clinic/Center Specialization: Oncology |
20163 | IA | Ambulatory Health Care Facilities |
| Street Address |
1215 PLEASANT ST SUITE 514 |
| 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 |
| 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 |
| 1053630236 | Lana Rose Herteen | Counselor | 1215 Pleasant St, Suite 303, Des Moines, IA 50309-1416 | 2010-05-27 |
| 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 | 261QX0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. |
| Notes: [7/1/2003: new] |
| 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.