RADIOLOGY GROUP, P.C., S.C. (NPI# 1073573994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073573994 |
| Entity Type | Organization |
| Organization Name | RADIOLOGY GROUP, P.C., S.C. |
| Practice Address |
1227 E Rusholme St Davenport IA 52803-2459 |
| Mailing Address |
1970 E 53rd St Davenport IA 52807-2710 |
| Practice Telephone | 5633593949 |
| Mailing Telephone | 5633593949 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL A BOHL (ADMINISTRATOR) |
| Authorized Official Telephone | 5633593949 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | CP8211 | 01 | |
| IA | 0063016 | 05 | |
| BCBS OF IOWA | 30005 | 01 |
| Street Address |
1227 E RUSHOLME ST |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52803-2459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083690762 | Ilya B Volfson | Anesthesiology | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2005-12-15 |
| 1912523432 | Abby Mariah Shumate | Nurse Practitioner | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2020-06-20 |
| 1477173532 | Julie Anne Daniels | Occupational Therapist | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2020-04-19 |
| 1083253306 | Charles Grant Dennehey | Physician Assistant | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2020-01-03 |
| 1942850011 | Alyssa Sue Busch | Nurse Practitioner | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2019-09-19 |
| 1528616901 | Genesis Health System | Psychologist | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2019-08-29 |
| 1992260202 | Matthew Adam Steinbeck | Pharmacist | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2019-01-31 |
| 1609394964 | Chelsea Speer | Physician Assistant | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2017-09-06 |
| 1508387382 | Anesthesia Intensive Care LLC | Anesthesiology | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2017-06-30 |
| 1417478314 | Michelle Engstrom | Physical Therapist | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2017-06-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
| 1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
| 1215383070 | Brittney N Hughes | Nurse Practitioner | 1228 E Rusholme Street, Suite 3020, Davenport, IA 52803 | 2016-05-11 |
| 1992138747 | Sarah Beth Schlickman | Nurse Practitioner | 1228 E Rusholme St Ste 3020, Davenport, IA 52803 | 2013-08-15 |
| 1154763845 | Leslie A Poston | Nurse Practitioner | 1228 E. Rushome Street, Mob I, Suite 2100, Davenport, IA 52803 | 2013-07-23 |
| 1083878896 | Jolene Marie Dague | Dentist | 1905 N. Main St, Davenport, IA 52803 | 2008-07-11 |
| 1952436370 | Joann C Milani | Psychologist | 1503 Brady Street, Davenport, IL 52803 | 2007-02-23 |
| 1942343579 | Lisa Clare Ploehn | Pharmacist | 129 West Locust Street, Davenport, IA 52803 | 2007-02-14 |
| 1366597957 | Cathleen Ann Clark | Social Worker | 1706 N Brady, Suite 204, Davenport, IA 52803 | 2007-01-24 |
| 1184781940 | William Burke Ltd | Durable Medical Equipment & Medical Supplies | 129 West Locust, Davenport, IA 52803 | 2007-01-02 |
| Find all providers in zip 52803 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154450351 | Advance Technological Radiology, Pa | Radiology | 2235 North Boulevard West, Davenport, FL 33837-8990 | 2007-03-05 |
| 1801922786 | Ivan G Murray | Radiology | 2235 North Blvd West, Davenport, FL 33837 | 2007-02-26 |
| 1790745982 | Radiology Group Imaging Center, L.L.C. | Radiology | 1970 E 53rd St, Davenport, IA 52807-2710 | 2006-03-23 |
| 1912246455 | Central Florida Imaging Associates | Radiology | 40100 Highway 27, Davenport, FL 33837-5906 | 2013-02-04 |
| 1134415821 | Jason Benjamin Mueller | Radiology | 1970 E 53rd St, Davenport, IA 52807-2710 | 2011-06-22 |
| 1447492103 | Oliver F Hamilton Jr. | Radiology | 2235 North Boulevard West, Davenport, FL 33837 | 2009-03-27 |
| 1942491683 | Radiology Consultants, Pa | Radiology | 40100 Highway 27, Davenport, FL 33837-5906 | 2007-08-07 |
| 1447468715 | Roopa M Goswami | Radiology | 1970 E 53rd St, Davenport, IA 52807-2710 | 2007-05-19 |
| 1982730867 | Gerard J Murphy | Radiology | 2235 North Blvd West, Davenport, FL 33837 | 2007-02-26 |
| 1558497438 | Anthony T Rosa | Radiology | 2235 North Blvd West, Davenport, FL 33837 | 2007-02-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.