RYAN TRAVIS POKORNEY (NPI# 1093022873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093022873 |
Entity Type | Individual |
Full Name | RYAN TRAVIS POKORNEY |
Credential | D.O. |
Practice Address |
2300 53rd Ave Bettendorf IA 52722-7564 |
Mailing Address |
2300 53rd Ave Ste 100 Bettendorf IA 52722-7565 |
Practice Telephone | 5633220971 |
Practice Fax Number | 5633240615 |
Mailing Telephone | 5633220971 |
Mailing Fax Number | 5633240615 |
Enumeration Date | 2010-09-01 |
Last Update Date | 2019-12-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
036.140178 | IL | Allopathic & Osteopathic Physicians |
Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
DO04830 | IA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
3385 Dexter Court, Suite 300, Davenport, IA 528073471 | 5633449292 | 5633449571 |
Street Address |
2300 53RD AVE |
City | BETTENDORF |
State | IA |
Zip Code | 52722-7564 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932187259 | Peter C Rink | Orthopaedic Surgery | 2300 53rd Ave, Suite 100, Bettendorf, IA 52722-7564 | 2006-01-06 |
1699257923 | Lauren Bethany Warner | Nurse Practitioner | 2300 53rd Ave, Bettendorf, IA 52722-7564 | 2018-09-04 |
1891171369 | Jessica M Mckearney | Nurse Practitioner | 2300 53rd Ave, Suite 100, Bettendorf, IA 52722-7564 | 2015-08-06 |
1609266295 | Rachel Paulsen | Physical Therapist | 2300 53rd Ave, Ll02, Bettendorf, IA 52722-7564 | 2015-02-03 |
1679976732 | Stefanie A Glider | Physician Assistant | 2300 53rd Ave, Suite 100, Bettendorf, IA 52722-7564 | 2014-10-03 |
1508265398 | Elizabeth Brandt | Occupational Therapist | 2300 53rd Ave, Ste. Ll02, Bettendorf, IA 52722-7564 | 2014-08-18 |
1588090476 | Jason Robert Ryckeghem | Physician Assistant | 2300 53rd Ave, Suite 100, Bettendorf, IA 52722-7564 | 2013-09-24 |
1609149368 | Kyle A Merten | Physical Therapist | 2300 53rd Ave, Suite Ll02, Bettendorf, IA 52722-7564 | 2012-02-10 |
1184904567 | Bradi Michael Peter Kipper | Physician Assistant | 2300 53rd Ave, Suite 100, Bettendorf, IA 52722-7564 | 2011-08-17 |
1710200894 | James Edward Lyles Jr. | Surgery | 2300 53rd Ave, Suite 100, Bettendorf, IA 52722-7564 | 2010-03-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770198855 | Wellspire-bettendorf LLC | Skilled Nursing Facility | 4699 53rd Ave, Bettendorf, IA 52722 | 2020-09-15 |
1558873315 | Erin M Kohrt | Speech-Language Pathologist | 2500 Grant Street, Bettendorf, IA 52722 | 2017-11-01 |
1437680295 | Holli Christine Martin | Chiropractor | 3048 Victoria St., Bettendorf, IA 52722 | 2017-03-23 |
1598219552 | Alyssa Renee Matz | Counselor | 2435 Kimberly Rd Ste 96, Bettendorf, IA 52722 | 2016-08-08 |
1144625021 | Athletico Ltd | Physical Therapist | 3252 Ridge Point, Bettendorf, IA 52722 | 2014-11-04 |
1609282862 | Katherine L Browne | Nurse Practitioner | 1351 Kimberly Rd Ste 100, Bettendorf, IA 52722 | 2014-07-09 |
1316357494 | Kayla Leigh Ehrman | Family Medicine | 2535 Maplecrest Rd Ste 16, Bettendorf, IA 52722 | 2014-04-29 |
1043648454 | Duane Anthony Halbur Jr. | Counselor | 2420 Salem Ct, Bettendorf, IA 52722 | 2013-10-22 |
1376881185 | Christopher D Murphy | Physical Therapist | 2300 53rd Ave Ll02, Bettendorf, IA 52722 | 2013-01-29 |
1326386574 | Kelly C Harry | Occupational Therapist | 3470 Utica Ridge Road, Suite 4, Bettendorf, IA 52722 | 2013-01-23 |
Find all providers in zip 52722 |
Taxonomy Code | 207XS0114X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Adult Reconstructive Orthopaedic Surgery |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821288150 | Iowa Orthopaedic Center, P.C. | Orthopaedic Surgery | 1601 Nw 114th St, Ste 136, Des Moines, IA 50325-7007 | 2007-08-01 |
1740403500 | Christopher D Nelson | Orthopaedic Surgery | 6001 Westown Pkwy, West Des Moines, IA 50266-7702 | 2007-04-10 |
1689700593 | Peter Dwight Wirtz | Orthopaedic Surgery | 7601 Office Plaza Dr N, Suite 115, W Des Moines, IA 50266-2338 | 2007-02-26 |
1235113234 | Sandeep Munjal | Orthopaedic Surgery | 202 10th Street Se, Cedar Rapids, IA 52403-2404 | 2005-12-02 |
1336147800 | Jeffrey Michael Nassif | Orthopaedic Surgery | 202 10th Street Se, Cedar Rapids, IA 52403-2404 | 2005-07-08 |
City | BETTENDORF |
Zip Code | 52722 |
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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.