| Iowa Digestive Disease Center | |
|
1378 Nw 124th Street Suite 200 Clive IA 50325 | |
| (515) 288-6097 | |
| (515) 288-8335 |
| Full Name | Iowa Digestive Disease Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 1378 Nw 124th Street, Clive, Iowa |
| Authorized Official Name and Position | Meridith Westbrook (CEO) |
| Authorized Official Contact | 5152886097 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iowa Digestive Disease Center 1378 Nw 124th Street Suite 200 Clive IA 50325 Ph: (515) 288-6097 | Iowa Digestive Disease Center 1378 Nw 124th Street Suite 200 Clive IA 50325 Ph: (515) 288-6097 |
| NPI Number | 1275571747 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 09/14/2022 |
| Medicare PECOS PAC ID | 4183522188 |
|---|---|
| Medicare Enrollment ID | O20031229000890 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275571747 | NPI | - | NPPES |
| 17117 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Nagendra V Myneni |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649238643 PECOS PAC ID: 3375537228 Enrollment ID: I20040413000850 |
| Provider Name | Michael J Page |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1295721223 PECOS PAC ID: 8123002581 Enrollment ID: I20040615000490 |
| Provider Name | Archana Verma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821046087 PECOS PAC ID: 4385653518 Enrollment ID: I20060417000061 |
| Provider Name | Stacey S Roberts |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912965146 PECOS PAC ID: 5698782183 Enrollment ID: I20060417000074 |
| Provider Name | Bernard I Leman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972560597 PECOS PAC ID: 8426065913 Enrollment ID: I20060417000089 |
| Provider Name | Ravi P Vemulapalli |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992763122 PECOS PAC ID: 2163439654 Enrollment ID: I20060417000124 |
| Provider Name | Michael D Obrien |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295793420 PECOS PAC ID: 3072411073 Enrollment ID: I20060417000136 |
| Provider Name | Thomas L Martin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417908922 PECOS PAC ID: 0941212351 Enrollment ID: I20060630000142 |
| Provider Name | Noelle C Mundt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598726572 PECOS PAC ID: 8426054404 Enrollment ID: I20061016000014 |
| Provider Name | Tercio L Lopes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336352772 PECOS PAC ID: 4385780543 Enrollment ID: I20100810000985 |
| Provider Name | Rajalakshmi Vishwanathan Iyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699745760 PECOS PAC ID: 2860490786 Enrollment ID: I20100928000048 |
| Provider Name | Kristin A Everhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306154844 PECOS PAC ID: 7416141171 Enrollment ID: I20101027000587 |
| Provider Name | Christina L Hendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407917099 PECOS PAC ID: 1052507415 Enrollment ID: I20101124000276 |
| Provider Name | Lori L Mathis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346545233 PECOS PAC ID: 7810171345 Enrollment ID: I20110407000698 |
| Provider Name | Lacy L Rowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821487679 PECOS PAC ID: 0547587164 Enrollment ID: I20150319001397 |
| Provider Name | Karen K Luken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942469960 PECOS PAC ID: 4981758802 Enrollment ID: I20150929001832 |
| Provider Name | Andre C Thompson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538383765 PECOS PAC ID: 1557412285 Enrollment ID: I20161214000388 |
| Provider Name | Jordan D Holmes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518130624 PECOS PAC ID: 9032376769 Enrollment ID: I20171229001272 |
| Provider Name | Tiffany E Beyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063920395 PECOS PAC ID: 7719241751 Enrollment ID: I20180430000025 |
| Provider Name | Megan Elizabeth Brodie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598234619 PECOS PAC ID: 6901144930 Enrollment ID: I20190215002139 |
| Provider Name | Melissa Marie Halverson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558887174 PECOS PAC ID: 3870850100 Enrollment ID: I20190926001986 |
| Provider Name | Arjun Raj Sondhi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396183299 PECOS PAC ID: 7911207758 Enrollment ID: I20200616002377 |
| Provider Name | Christopher J Mulder |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356577951 PECOS PAC ID: 3375847106 Enrollment ID: I20200617000141 |
| Provider Name | Morgan M Hemer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558986257 PECOS PAC ID: 8224451323 Enrollment ID: I20200708001841 |
| Provider Name | Zahid Kaleem |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063476208 PECOS PAC ID: 4284659483 Enrollment ID: I20210505001324 |
| Provider Name | Russell D Deidiker |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841265345 PECOS PAC ID: 0547384224 Enrollment ID: I20210505001752 |
| Provider Name | Muhammad H Pathan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326150301 PECOS PAC ID: 2567534282 Enrollment ID: I20210505002089 |
| Provider Name | Amol Agarwal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043604473 PECOS PAC ID: 4183943665 Enrollment ID: I20210702001516 |
| Provider Name | Benjamin C Pottebaum |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528419066 PECOS PAC ID: 1254678584 Enrollment ID: I20220614003065 |
| Provider Name | Samantha D Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083487920 PECOS PAC ID: 6709239494 Enrollment ID: I20240130000647 |
Digestive And Liver Disease Consultants, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 Nw 114th St, Ste 342, Clive, IA 50325 Phone: 515-223-4823 Fax: 515-223-0482 | |
Pure Wellness Chiropractic & Acupuncture Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1250 Nw 128th St, 120, Clive, IA 50325 Phone: 515-225-2220 Fax: 515-225-2229 | |
Mercyone Bone Density Testing Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 Nw 114th St, Clive, IA 50325 Phone: 515-222-7000 Fax: 515-222-7037 | |
Metro Geriatrics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13435 University Ave, Suite 500, Clive, IA 50325 Phone: 515-225-7132 Fax: 515-218-1500 | |
Mercy West Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 Nw 114th St, Suite 240, Clive, IA 50325 Phone: 515-222-7700 Fax: 515-222-7138 | |
New Leaf Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12129 University Ave Ste 1500, Clive, IA 50325 Phone: 515-657-6210 Fax: 515-657-6208 |