Active NPI
Heavy Medicine Incorporated P C
- Cardiovascular Disease Physician
- Des Moines, IA
National Provider Identifier
1235228826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- 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, 2010
- 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
- Mrs. Robin Eva Christian
- Title
- Office Manager
- Phone
- (515) 262-8707
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19808 | Other | IA | WELLMARK |
| 0198085 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
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.