DR. MICHAEL A PHELPS


Address: 1228 E Rusholme St, Suite 3020, Davenport, IA 52803
Phone: 5638239300

DR. MICHAEL A PHELPS (NPI# 1073583308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073583308
Entity Type Individual
Full Name DR. MICHAEL A PHELPS
Credential MD
Practice Address 1228 E Rusholme St
Suite 3020
Davenport
IA 52803
Practice Telephone 5638239300
Practice Fax Number 5638239330
Mailing Telephone 5638239300
Mailing Fax Number 5638239330
Enumeration Date 2006-01-26
Last Update Date 2011-02-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 27450 IA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IA 2062455 05

Other Providers MICHAEL PHELPS

NPI Name Taxonomy Address Enumeration
1699060780 Michael Keith Phelps Family Medicine 16083 Sw Upper Boones Ferry Rd, Suite 320, Tigard, OR 97224-7736 2011-06-16
1013075308 Michael Steven Phelps Dentist 4350 Marconi Avenue, Suite 200, Sacramento, CA 95821 2006-12-05
1275519555 Michael Anthony Phelps Chiropractor 690 E Morgan St, Martinsville, IN 46151-1640 2005-12-19
1811533243 Michael Phelps Peer Specialist 125 S Main Cross St, Louisa, KY 41230-1065 2019-11-20
1801454046 Michael Phelps Nurse Practitioner 160 Academy Ave, Greenwood, SC 29646-3808 2019-06-03
1043635329 Michael Phelps Case Manager/Care Coordinator 509 Ne Alberta St, Portland, OR 97211-3976 2014-02-24
1427196591 Michael Alan Phelps Anesthesiology 600 N Wolfe St, Baltimore, MD 21287-0005 2007-02-02
1366407769 Michael H Phelps Internal Medicine 5300 State Road 64, Suite 101, Georgetown, IN 47122-9178 2006-04-19

Office Location

Street Address 1228 E RUSHOLME ST
SUITE 3020
City DAVENPORT
State IA
Zip Code 52803

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902801525 James H Hahn Internal Medicine 1228 E Rusholme St, Suite 112, Davenport, IA 52803-2467 2005-06-20
1508218629 Molly Ann Stehn Nurse Practitioner 1228 E Rusholme St, Suite 3020, Davenport, IA 52803-2453 2016-07-13
1245699438 Ann Maxwell Nurse Practitioner 1228 E Rusholme St, Davenport, IA 52803-2453 2016-02-16
1306046222 Iqbal M Binoj Internal Medicine 1228 E Rusholme St, Suite 112, Davenport, IA 52803-2467 2007-07-19
1235350976 Julie Ann Cabel Nurse Practitioner 1228 E Rusholme St, Mob 1 Suite 112, Davenport, IA 52803-2467 2007-05-01
1639213051 Debbie P Cecil Family Medicine 1228 E Rusholme St, Suite112, Davenport, IA 52803-2453 2007-02-18
1578581534 Raminder S Ahluwalia Emergency Medicine 1228 E Rusholme St, Mob 1 Suite 112, Davenport, IA 52803-2467 2006-07-18
1851316681 Davenport Surgical Group PC Surgery 1228 E Rusholme St, Suite 302, Davenport, IA 52804 2006-07-13
1356390207 Robert E. Harson Surgery 1228 E Rusholme St, Suite 3020, Davenport, IA 52803-2481 2006-05-09
1366407322 Kenneth John Hartman Jr. Surgery 1228 E Rusholme St, Ste 302, Davenport, IA 52803 2006-04-20
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538227442 Carifi Breast Care Pa Surgery 171 Webb Drive, Suite #1, Davenport, FL 33837 2006-12-04
1861508111 Paul David Williams Surgery 40124 Highway 27 Ste 207, Davenport, FL 33837-5905 2006-08-21
1770597569 Perumalswamy Rajaram Surgery 40124 Highway 27 Ste 104, Davenport, FL 33837-5905 2006-07-28
1578590014 Mel Francis Garrovillo Surgery 111 Webb Dr Ste 3, Davenport, FL 33837-3944 2006-06-28
1669478087 Vincent G Carifi Surgery Carifi Breast Care, P.a., 171 Webb Drive - Suite #1, Davenport, FL 33837 2005-06-21
1720313364 Shiva Seetahal Surgery 40124 Highway 27, Suite 104, Davenport, FL 33837-5905 2009-10-15
1336346246 Garrovillo Surgical Care LLC Surgery 111 Webb Dr, Suite 3, Davenport, FL 33837-3944 2007-07-03
1588861389 Andrew J Lightfoot Surgery 3319 Spring St, Davenport, IA 52807-2125 2007-06-27
1891991832 Rajaram P A Surgery 40124 Highway 27, Suite 203, Davenport, FL 33837-5905 2007-06-26
1053527853 Lincoln County Hospital District 3 Surgery 100 3rd St Ste 1, Davenport, WA 99122-5008 2007-05-16
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Competitor

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City DAVENPORT
Zip Code 52803

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Dataset Information

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.

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