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VINCENT MANDRACCHIA DPM
NPI 1174518260
Podiatrist in Des Moines, IA

Active since September 14, 2005
1801 HICKMAN RD, BROADLAWNS MEDICAL CENTER, DES MOINES, IA 50314(515) 282-2319(515) 282-3234 Get Directions Write a Review

NPPES record last updated: December 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vincent Mandracchia Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VINCENT MANDRACCHIA DPM (NPI 1174518260) is an individual podiatrist in Des Moines, Iowa, licensed in Iowa (000581) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1174518260
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameVINCENT MANDRACCHIACredential: DPM
Location Address1801 HICKMAN RD, BROADLAWNS MEDICAL CENTERDes Moines, IA 50314-1505
Mailing Address1801 Hickman Rd, Broadlawns Medical CenterDes Moines, IA 50314-1505 · (515) 282-2319 · Fax (515) 282-3234
Phone(515) 282-2319
Fax(515) 282-3234
Sole ProprietorNo
Enumeration DateSeptember 14, 2005
Last NPPES UpdateDecember 22, 2008
✔ NPI 1174518260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in IA · 000581
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1801 HICKMAN RD, Des Moines, IA 50314
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Other Identifiers 3

Medicare UPINT30647IA
Medicare ID-Type UnspecifiedI11645IA
Medicaid1088146IA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW HELMICK WILLIAMS D.O.
Family Medicine
1801 HICKMAN RD
DES MOINES, IA 50314
Polk County (515) 282-5640
ALEX YEONWOO KIM DO
Psychiatry & Neurology (Psychiatry)
1801 HICKMAN RD
DES MOINES, IA 50314
Polk County (515) 282-2200
CAMERON MATTHIAS GREINER DO
Student in an Organized Health Care Education/Training Program
1801 HICKMAN RD
DES MOINES, IA 50314
Polk County (515) 282-2200
MARK DYKEN MD
Student in an Organized Health Care Education/Training Program
1801 HICKMAN RD
DES MOINES, IA 50314
Polk County (515) 282-2200
KELLI GREEN MD
Psychiatry & Neurology (Psychiatry)
1801 HICKMAN RD, BROADLAWNS MEDICAL CENTER
DES MOINES, IA 50314
Polk County (515) 282-2319
KATRINA COEN
Pharmacist
1801 HICKMAN RD
DES MOINES, IA 50314
Polk County (515) 282-2378
NICOLE RENEE SLIVA OTR/L
Occupational Therapist
1801 HICKMAN RD
DES MOINES, IA 50314
Polk County (515) 282-5621
GARY HUDSON PA-C
Physician Assistant
1801 HICKMAN RD
DES MOINES, IA 50314
Polk County (515) 282-2319

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vincent Mandracchia's NPI number?

The NPI number for Vincent Mandracchia is 1174518260. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Where is Vincent Mandracchia located?

Vincent Mandracchia practices at 1801 Hickman Rd Broadlawns Medical Center, Des Moines, IA 50314. The listed phone number is (515) 282-2319.

What is Vincent Mandracchia's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Vincent Mandracchia was last updated on December 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.