COLLIN E. PEHDE DPM, PLLC (NPI# 1912278490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912278490 |
| Entity Type | Organization |
| Organization Name | COLLIN E. PEHDE DPM, PLLC |
| Other Organization Name | EAST VILLAGE FOOT & ANKLE SURGEONS |
| Practice Address |
500 E Court Ave Suite 314 Des Moines IA 50309-2057 |
| Mailing Address |
2213 Grand Ave Des Moines IA 50312-5305 |
| Practice Telephone | 5152826067 |
| Practice Fax Number | 5152441722 |
| Mailing Telephone | 5152373974 |
| Mailing Fax Number | 5158832692 |
| Enumeration Date | 2012-01-16 |
| Last Update Date | 2012-09-20 |
| Authorized Official Name | DR. COLLIN EUGENE PEHDE (SOLE MEMBER/OWNER) |
| Authorized Official Telephone | 5152826067 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
00782 | IA | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| East Village Foot & Ankle Surgeons | Doing Business As Name - Organization |
| Street Address |
500 E COURT AVE SUITE 314 |
| City | DES MOINES |
| State | IA |
| Zip Code | 50309-2057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174976948 | Justin J Raatz, Dpm Pllc | Podiatrist | 500 E Court Ave, Suite 314, Des Moines, IA 50309-2057 | 2016-07-18 |
| 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 | 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 |
| 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 |
| 1659669760 | Ashley Ann Mcclain | Podiatrist | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2011-07-11 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50309 |
Please comment or provide details below to improve the information on COLLIN E. PEHDE DPM, PLLC.
| 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.