Active NPI
Mercycare Management
Doing business as MercyCare Occupational Health Partners
- Occupational Medicine Physician
- Cedar Rapids, IA
National Provider Identifier
1285831081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- Legal business name
- MERCYCARE MANAGEMENT
- Doing business as
- MercyCare Occupational Health Partners
- Practice address
- 5264 Council St NE
Suite 700
Cedar Rapids, IA 52402-2471 - Phone
- (319) 369-4798
- NPI assigned
- Jun 27, 2007
- Last updated
- Aug 22, 2020
- 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
- Theodore Kipper
- Title
- Director
- Phone
- (319) 369-6807
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | NU | Primary |
Addresses
Primary practice location
5264 Council St NE
Suite 700
Cedar Rapids, IA 52402-2471
Mailing address
PO Box 786
Cedar Rapids, IA 52406-0786
Other names 1
- MercyCare Occupational Health Partners
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040322000692 | IA | Part B Supplier - Clinic/Group Practice | 2466343363 |
Receives reassigned benefits from 79 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cedar Rapids, IA |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba MercyCare Hiawatha Urgent Care
- Family Nurse Practitioner
- Hiawatha, IA
- NPI 1114451424
O20040322000692
-
dba Mercy Care South
- Family Medicine Physician
- Cedar Rapids, IA
- NPI 1306042890
O20040322000692
-
dba Mercy Care North
- Family Medicine Physician
- Cedar Rapids, IA
- NPI 1467659268
O20040322000692
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1285831081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 786",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524060786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5264 COUNCIL ST NE",
"address_2": "SUITE 700",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524022471",
"telephone_number": "319-369-4798"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCYCARE MANAGEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KIPPER",
"authorized_official_first_name": "THEODORE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "319-369-6807"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MercyCare Occupational Health Partners",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cedar Rapids, IA
- Mercy Physician Associates, Inc (Mercy Hospitalists)
- Mercy Physician Associates, Inc (Mercycare Diabetes Center)
- Mercy Physician Associates, Inc. (MercyCare Neonatology)
- Mercy Physician Associates,Inc.
- Mercy-PHS Senior Housing Inc (HallMar Village)
- Mercycare Management (Mercy Neonatology)
- Mercycare Management, Inc. (MercyCare Occupational Health Partners)
- Mercycare Management, Inc.
- Janet M Merfeld, MD
- Kendy Merrill
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.