Organization Active NPI

Heavy Medicine Incorporated P C

  • Cardiovascular Disease Physician
  • Des Moines, IA
National Provider Identifier
1235228826
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
HEAVY MEDICINE INCORPORATED P C
Practice address
1300 Des Moines St
Suite 107
Des Moines, IA 50309-5502
Phone
(515) 262-8707
Fax
(515) 265-5207
NPI assigned
Oct 12, 2006
Last updated
Aug 31, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Robin Eva Christian
Title
Office Manager
Phone
(515) 262-8707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

1300 Des Moines St
Suite 107
Des Moines, IA 50309-5502

Mailing address

1300 Des Moines Street
Suite 107
Des Moines, IA 50309-5547
Phone (515) 262-8707

Other identifiers 2

IdentifierTypeStateIssuer
19808OtherIAWELLMARK
0198085MedicaidIA

National Provider Directory

National Provider Directory

Locations

1300 Des Moines St
Ste 107
Des Moines, IA 50309
Phone (515) 262-8707

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1235228826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 DES MOINES STREET",
            "address_2": "SUITE 107",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503095547",
            "telephone_number": "515-262-8707",
            "fax_number": "515-265-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 DES MOINES ST",
            "address_2": "SUITE 107",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503095502",
            "telephone_number": "515-262-8707",
            "fax_number": "515-265-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVY MEDICINE INCORPORATED P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "EVA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "515-262-8707",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "19808",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0198085",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.