Robert Smith, DO
Dr. Robert Smith is board certified in Internal Medicine and Nephrology. He has been in the Des Moines area since 2002. Dr. Smith received his Doctor of Osteopathic Medicine at the University of Health Sciences College of Osteopathic Medicine in Kansas City, Missouri. He completed his Internal Medicine Residency at the University of Health Sciences College of Osteopathic Medicine in Kansas City, Missouri, and his Nephrology fellowship at Rowan University. Stratford, New Jersey.
In his free time, Dr. Smith enjoys spending time with his family.
Jobinson Thomas, MD
Dr. Jobinson Thomas is board certified in Nephrology & Internal Medicine. He has been practicing in Des Moines area since 2006. Dr. Thomas received his medical degree at Christian medical college Ludhiana, Punjab, India. He completed his Internal Medicine residency at Worcester Medical Center, Worcester, Massachusetts, Nephrology Fellowship at Loyola University, Chicago, Illinois and Transplant Fellowship at the University of Cincinnati, Cincinnati, Ohio. Dr. Thomas has special interests in Kidney and Pancreas Transplantation Medicine. Dr. Thomas serves as Transplant Nephrologist at the Des Moines area hospitals.
In his free time Dr. Thomas enjoys spending time with his family, their many activities and traveling.
Patrick Chua, MD
Dr. Patrick Chua is board certified in Internal Medicine and Nephrology. He has practiced in the Des Moines area since 2012. He received his medical degree from the University of Santo Tomas in Manila, Philipapines. He completed his Internal Medicine Residency at Saint Vincent Hospital, Worcester, Massachusetts and his Nephrology Fellowship at the University of Rochester. Rochester NY.
In his free time Dr. Chua enjoys traveling, cooking and spending time with his family.
West Des Moines
Outreach Clinics:Mt. Ayr
Prem K.G. Chandran, MD
Dr. Prem Chandran is board certified in Internal Medicine and Nephrology. He has been practicing in the Des Moines area since 1984. Dr. Chandran received his medical degree at Kerala University, Kerala State, India. He completed his Internal Medicine and Nephrology Residencies at Medical College, Trivandrum, Kerala, India, Christian Medical College, Madras, India, Royal Halifax Infirmary, Halifax, England, and University of British Columbia, Vancouver, B.C., Canada, and his Nephrology Fellowships at Cincinnati Medical Center, Cincinnati, Ohio and Loyola University, Chicago, Illinois.
In his free time, Dr. Chandran enjoys tennis and spending time with his family.
Johnna Danner-Terlouw, ARNP
Johnna is a certified Advanced Geriatric Nurse Practitioner. Johnna has been practicing in the Des Moines area since 2017. Johnna received her undergraduate degree at Mount Mercy College, Cedar Rapids, Iowa, and her Masters Science of Nursing degree at George Washington University, Washington, D.C. Johnna brings to our clinic several years of nursing experience. Prior to joining Associates in Kidney Care, Johnna provided patient care in a busy urology clinic in Iowa City.
In her free time, Johnna enjoys spending time with her family and enjoying outdoor activities.
Maria Astra Fecundo, ARNP
Maria is a certified Advanced Geriatric Nurse Practitioner. Maria is new to the Nurse Practitioner role but has been a practicing Registered Nurse since 2005. Maria is a Des Moines transplant, having received her Bachelor of Science in Nursing at Filamer Christian College, Philippines. Maria completed her Master's of Science in Nursing at Purdue University Global in Indianapolis, Indiana. Maria brings to our clinic more than a decade of dialysis nursing experience.
In her free time, Maria enjoys spending time with her family and traveling with them.
Kari Morrow, ARNP
Kari is a certified Advanced Registered Nurse Practitioner, originally from Virginia. Iowa quickly became the best choice home for her while she raised her children and entered the medical field. Kari has worked within the Mercy One care system in many roles since becoming a nurse in 2011. Kari received her Masters degree in Nursing Education, as well as her post graduate Advanced Registered Nurse Practitioner from Purdue Global University. She brings to the clinic her residency of internal medicine as well many years of nursing experience and education.
In her free time, Kari enjoys spending time with her family and finding new activities and places to see within the Des Moines area.
Nicole Bales, ARNP
Nicole is a certified Adult Gerontology Acute Care Nurse Practitioner. Nicole is new to the nurse practitioner role but has been a practicing ICU nurse since 2013. Nicole was born and raised in the Des Moines area and obtained her bachelor's degree from Mercy College and her Masters of Science in Nursing through Walden University in Minneapolis, MN.
In her free time, Nicole likes to spend time with her family, baking, and playing outdoors with her dogs.