# MERCY PHYSICIAN ASSOCIATES,INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578511069
- **Authorized official:** TEDD KIPPER (DIRECTOR)
- **Authorized official phone:** (319) 369-4505

## Contact information

- **Practice address:** 610 8TH ST SE, CEDAR RAPIDS, IA 52401-2143
- **Practice address phone:** (319) 369-4505
- **Practice address fax:** (319) 369-4677
- **Mailing address:** PO BOX 1824, CEDAR RAPIDS, IA 52406-1824
- **Mailing address phone:** (319) 369-4505
- **Mailing address fax:** (319) 369-4677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 03/17/2008