Charles A Depena (NPI# 1568430171, PAC ID# 3779577671) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1568430171 |
| PAC ID by PECOS | 3779577671 |
| Professional Enrollment ID | I20060207000156 |
| Full Name | Charles A Depena |
| Organization Legal Name | IOWA DIAGNOSTIC IMAGING AND PROCEDURE CENTER LC |
| Address |
12368 Stratford Dr Suite 300 Clive IA 50325-8149 |
| Phone Number | 5152269810 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1983 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1658263546 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160082 | IOWA METHODIST MEDICAL CENTER |
| 160016 | TRINITY REGIONAL MEDICAL CENTER |
| 161370 | LORING HOSPITAL |
| 160147 | GRINNELL REGIONAL MEDICAL CENTER |
| 161350 | STEWART MEMORIAL COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 12368 Stratford Dr, Suite 300, Clive, IA 50325-8149 | 5152269810 | IOWA DIAGNOSTIC IMAGING AND PROCEDURE CENTER LC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 3% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 3% |
| Organization Legal Name | IOWA DIAGNOSTIC IMAGING AND PROCEDURE CENTER LC |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Ryan Menzel | Diagnostic Radiology | Iowa Diagnostic Imaging and Procedure Center Lc | 2208 W Lake Lucille Dr, Wasilla, AK 99654-7934 |
| James H Jacobs Jr. | Diagnostic Radiology | Iowa Diagnostic Imaging and Procedure Center Lc | 9682 Wellington Ct, Woodbury, MN 55125-9593 |
| David L Lacey | Diagnostic Radiology | Iowa Diagnostic Imaging and Procedure Center Lc | 12368 Stratford Dr, Suite 300, Clive, IA 50325-8149 |
| John Rizzi | Diagnostic Radiology | Iowa Diagnostic Imaging and Procedure Center Lc | 6000 University Ave, Suite 150, West Des Moines, IA 50266-8204 |
| Aaron C Hurlbut | Diagnostic Radiology | Iowa Diagnostic Imaging and Procedure Center Lc | 1221 Pleasant St, Suite 350, Des Moines, IA 50309-1420 |
| Nicholas Hilpipre | Diagnostic Radiology | Iowa Diagnostic Imaging and Procedure Center Lc | 1221 Pleasant St, Suite 350, Des Moines, IA 50309-1420 |
| Bradley John Kliewer | Diagnostic Radiology | Iowa Diagnostic Imaging and Procedure Center Lc | 6000 University Ave, Suite 150, West Des Moines, IA 50266-8204 |
| David Bradley Magill | Diagnostic Radiology | Iowa Diagnostic Imaging and Procedure Center Lc | 1221 Pleasant St, Suite 350, Des Moines, IA 50309-1420 |
| Frederick B Steinberg | Diagnostic Radiology | Iowa Diagnostic Imaging and Procedure Center Lc | 6000 University Ave, Suite 150, West Des Moines, IA 50266-8204 |
| Adam A Liudahl | Diagnostic Radiology | Iowa Diagnostic Imaging and Procedure Center Lc | 12368 Stratford Dr, Suite 300, Clive, IA 50325-8149 |
| Street Address |
12368 STRATFORD DR SUITE 300 |
| City | CLIVE |
| State | IA |
| Zip | 50325-8149 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David L Lacey | Diagnostic Radiology | Iowa Diagnostic Imaging and Procedure Center Lc | 12368 Stratford Dr, Suite 300, Clive, IA 50325-8149 |
| Adam A Liudahl | Diagnostic Radiology | Iowa Diagnostic Imaging and Procedure Center Lc | 12368 Stratford Dr, Suite 300, Clive, IA 50325-8149 |
| William D Heggen | Diagnostic Radiology | Iowa Diagnostic Imaging and Procedure Center Lc | 12368 Stratford Dr, Suite 300, Clive, IA 50325-8149 |
| Jill S Westercamp | Diagnostic Radiology | Iowa Diagnostic Imaging and Procedure Center Lc | 12368 Stratford Dr, Suite 300, Clive, IA 50325-8149 |
| Lindsay L Grandbois | Diagnostic Radiology | Iowa Diagnostic Imaging and Procedure Center Lc | 12368 Stratford Dr, Suite 300, Clive, IA 50325-8149 |
| James J Choi | Diagnostic Radiology | Iowa Diagnostic Imaging and Procedure Center Lc | 12368 Stratford Dr, Suite 300, Clive, IA 50325-8149 |
| Benjamin L Stradling | Diagnostic Radiology | Iowa Diagnostic Imaging and Procedure Center Lc | 12368 Stratford Dr, Suite 300, Clive, IA 50325-8149 |
| Brett C Richardson | Diagnostic Radiology | Iowa Diagnostic Imaging and Procedure Center Lc | 12368 Stratford Dr, Suite 300, Clive, IA 50325-8149 |
| Andrew D Nish | Diagnostic Radiology | Iowa Radiology PC | 12368 Stratford Dr, Suite 300, Clive, IA 50325-8149 |
| Gerard A Waggenspack | Diagnostic Radiology | Iowa Diagnostic Imaging and Procedure Center Lc | 12368 Stratford Dr, Suite 300, Clive, IA 50325-8162 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Kay Van Wyk | Physician Assistant | Dermatology and Dermatologic Surgery Center, PC | 8131 University Blvd, Clive, IA 50325-1123 |
| Steven Lee Harlan | Dermatology | Dermatology and Dermatologic Surgery Center, PC | 8131 University Blvd, Clive, IA 50325-1123 |
| Janice I Hill | Clinical Social Worker | 7405 University Blvd, Suite 6, Clive, IA 50325-1343 | |
| Karla M Hansen | Clinical Social Worker | 7405 University Ave, Suite 6, Clive, IA 50325-1343 | |
| David R Krohse | Chiropractic | 7405 University Ave, Suite 1, Clive, IA 50325-1343 | |
| Justin C Luneburg | Chiropractic | 11050 Hickman Rd, Clive, IA 50325-3740 | |
| Traci K Williams | Chiropractic | 8450 Hickman Rd, Suite 14, Clive, IA 50325-4307 | |
| Monty Kluger | Chiropractic | 8350 Hickman Rd, Suite 4, Clive, IA 50325-4311 | |
| Ryan Donahue | Chiropractic | Shaw Chiropractic and Sports Injury Center | 2555 Berkshire Pkwy F, Clive, IA 50325-4646 |
| Abel J Shaw | Chiropractic | Shaw Chiropractic and Sports Injury Center | 2555 Berkshire Pkwy F, Clive, IA 50325-4646 |
| Find all physicians in zip 50325 | |||
| City | CLIVE |
| Zip Code | 50325 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | CLIVE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Charles A Depena.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.