NPIMap

Organization Active NPI

Mercy Clinics, Inc.

Doing business as MercyOne East Des Moines Occupational Health Clinic

  • Occupational Medicine Physician
  • West Des Moines, IA
National Provider Identifier
1851765598
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
MERCY CLINICS, INC.
Doing business as
MercyOne East Des Moines Occupational Health Clinic
MercyOne West Des Moines Occupational Health Clinic
Practice address
1055 Jordan Creek Pkwy
Ste 100
West Des Moines, IA 50266-5821
Phone
(515) 358-5950
Fax
(515) 358-5951
NPI assigned
Nov 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X IA Primary

Addresses

Primary practice location

1055 Jordan Creek Pkwy
Ste 100
West Des Moines, IA 50266-5821

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 358-5950

Other practice location 1

2525 E Euclid Ave
Des Moines, IA 50317-6045
Phone (515) 261-3300

Other names 2

  • MercyOne East Des Moines Occupational Health Clinic Doing business as
  • MercyOne West Des Moines Occupational Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory
Tax ID family
Mercy Neurological Clin37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1851765598",
    "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": "515-358-5950",
            "fax_number": "515-358-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 JORDAN CREEK PKWY",
            "address_2": "STE 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665821",
            "telephone_number": "515-358-5950",
            "fax_number": "515-358-5951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 E Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503176045",
            "country_code": "US",
            "telephone_number": "515-261-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERCY CLINICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "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": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MercyOne East Des Moines Occupational Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne West Des Moines Occupational Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.

Verify at the official NPI Registry.