Active NPI
Mercy Clinics, Inc
Doing business as MercyOne Clive Physical Medicine & Rehabilitation
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
- Clive, IA
National Provider Identifier
1073853461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- MERCY CLINICS, INC
- Doing business as
- MercyOne Clive Physical Medicine & Rehabilitation
- Practice address
- 12493 University Ave Ste 100
Clive, IA 50325 - Phone
- (515) 358-9461
- Fax
- (515) 358-9489
- NPI assigned
- Feb 21, 2013
- Last updated
- Oct 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bradley Whipple
- Title
- Chief Operating Officer
- Phone
- (515) 358-6956
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | 2081N0008X | Primary |
Addresses
Primary practice location
12493 University Ave Ste 100
Clive, IA 50325
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 358-9461
Other names 1
- MercyOne Clive Physical Medicine & Rehabilitation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031112000238 | IA | Part B Supplier - Clinic/Group Practice | 7911810882 |
Receives reassigned benefits from 558 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryLocations
12493 University Ave
Clive, IA 50325
Phone (515) 282-9622
12493 University Ave
Ste 100
Des Moines, IA 50325
Phone (515) 358-0060
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physician Assistant
- West Des Moines, IA
- NPI 1437258092
-
- Physical Medicine & Rehabilitation Physician
- Clive, IA
- NPI 1861854374
-
- Hospitalist Physician
- Des Moines, IA
- NPI 1346687357
-
- Physical Medicine & Rehabilitation Physician
- Clive, IA
- NPI 1881892214
-
- Family Nurse Practitioner
- Scranton, IA
- NPI 1457950032
-
- Surgery Physician
- Montrose, CO
- NPI 1659575348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728518400000",
"number": "1073853461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1475",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503051475",
"telephone_number": "515-358-9461",
"fax_number": "515-358-9489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12493 UNIVERSITY AVE STE 100",
"city": "CLIVE",
"state": "IA",
"postal_code": "50325",
"telephone_number": "515-358-9461",
"fax_number": "515-358-9489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY CLINICS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-21",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A",
"authorized_official_last_name": "WHIPPLE",
"authorized_official_first_name": "BRADLEY",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "515-358-6956"
},
"taxonomies": [
{
"code": "2081N0008X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MercyOne Clive Physical Medicine & Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clive, IA
- Mercy Clinics Inc (Mercy West Internal Medicine)
- Mercy Clinics Inc (MercyOne Clive Hearing Care)
- Mercy Clinics Inc (MercyOne Clive Physical Therapy Clinic)
- Mercy Clinics Inc (MercyOne Clive ENT Care Clinic)
- Mercy Clinics, Inc (MercyOne Bone Density Testing)
- Mercy Clinics, Inc (MercyOne Clive Internal Medicine Clinic)
- Mercy Clinics, Inc (MercyOne Des Moines Neuropsychology)
- Mercy Clinics, Inc (Katzmann Breast Center)
- Mercy Clinics, Inc (MercyOne Comfort Health Center for Women)
- Mercy Clinics, Inc (MercyOne Clive Gastroenterology Care Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.