| Dr Lisa I Hardisty, MD | |
|
1200 Pleasant St, Des Moines, IA 50309-1406 | |
| (515) 241-5926 | |
| (515) 241-5127 |
| Full Name | Dr Lisa I Hardisty |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1200 Pleasant St, Des Moines, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013112424 | NPI | - | NPPES |
| 1013112424 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 25715 (Nebraska) | Secondary |
| 208000000X | Pediatrics | R-8037 (Iowa) | Secondary |
| 208000000X | Pediatrics | 41384 (Iowa) | Primary |
| Entity Name | Trinity Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073594156 PECOS PAC ID: 7315858529 Enrollment ID: O20031204000921 |
| Entity Name | Central Iowa Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104879576 PECOS PAC ID: 1052229275 Enrollment ID: O20040128001102 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa I Hardisty, MD 1200 Pleasant St, South 2 Room 236, Des Moines, IA 50309-1406 Ph: (515) 241-6228 | Dr Lisa I Hardisty, MD 1200 Pleasant St, Des Moines, IA 50309-1406 Ph: (515) 241-5926 |
Catherine P Mcneill, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Pleasant St, Des Moines, IA 50309 Phone: 515-241-6611 Fax: 515-241-6635 | |
Dr. Theresa Marie Wahlig, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1111 6th Ave, Des Moines, IA 50314 Phone: 515-643-8409 | |
Dr. Basaviah Chandramouli, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 330 Laurel St, Suite 2200, Des Moines, IA 50314 Phone: 515-288-1097 Fax: 515-288-2847 | |
Holley A Bzdega, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Pleasant St, Neonatology, Des Moines, IA 50309 Phone: 515-241-4444 Fax: 515-241-5127 | |
Lexy Shantel Powell, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Pleasant St, Des Moines, IA 50309 Phone: 515-241-6636 | |
Richard S Robus, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1221 Pleasant St, Suite 170, Des Moines, IA 50309 Phone: 515-241-4300 Fax: 515-241-4359 |