DR. JASON J DEUTMEYER (NPI# 1104899095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104899095 |
| Entity Type | Individual |
| Full Name | DR. JASON J DEUTMEYER |
| Credential | MD |
| Practice Address |
4480 Utica Ridge Rd Suite 1124 Bettendorf IA 52722-1656 |
| Mailing Address |
4480 Utica Ridge Road Suite 1124 Bettendorf IA 52722-1626 |
| Practice Telephone | 5637425300 |
| Practice Fax Number | 5637425305 |
| Mailing Telephone | 5637425300 |
| Mailing Fax Number | 5637425305 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2015-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 036104564 | IL | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | 34035 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1104899095 | 05 | |
| IA | RR MEDICARE | P01205760 | 01 |
| IA | 036104564 | 05 | |
| BCWELLMARK | 38078 | 01 | |
| JOHN DEERE | IA01X2 | 01 | |
| IA | 1240812 | 05 |
| Street Address |
4480 UTICA RIDGE RD SUITE 1124 |
| City | BETTENDORF |
| State | IA |
| Zip Code | 52722-1656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326043514 | Naveen R Kanathur | Internal Medicine | 4480 Utica Ridge Rd, Suite 108, Bettendorf, IA 52722-1656 | 2005-06-15 |
| 1558896258 | Huffman Clinic, Pllc | Family Medicine | 4480 Utica Ridge Rd, Suite 110, Bettendorf, IA 52722-1656 | 2017-05-01 |
| 1477006351 | Carl John Alm | Nurse Practitioner | 4480 Utica Ridge Rd, #1124, Bettendorf, IA 52722-1656 | 2016-07-27 |
| 1174983548 | Fresenius Medical Care Quad Cities, LLC | Clinic/Center | 4480 Utica Ridge Rd, Bettendorf, IA 52722-1656 | 2016-02-29 |
| 1720492515 | Jeremy Bell | Specialist | 4480 Utica Ridge Rd, Bettendorf, IA 52722-1656 | 2014-06-19 |
| 1043633233 | Karthik Chakrala | Family Medicine | 4480 Utica Ridge Rd, Suite 160, Bettendorf, IA 52722-1656 | 2014-01-24 |
| 1457785859 | Richelle Marie Roethler | Nurse Practitioner | 4480 Utica Ridge Rd, Suite 110, Bettendorf, IA 52722-1656 | 2013-08-21 |
| 1598027070 | Rebecca Sue Stein | Obstetrics & Gynecology | 4480 Utica Ridge Rd, Ste 1140, Bettendorf, IA 52722-1656 | 2012-06-11 |
| 1033496088 | Ronald Brent Schlotfeldt II | Internal Medicine | 4480 Utica Ridge Rd, Ste 2230, Bettendorf, IA 52722-1656 | 2011-11-04 |
| 1184940991 | Orthopaedic Specialists PC | Orthopaedic Surgery | 4480 Utica Ridge Rd, Suite 2240, Bettendorf, IA 52722-1656 | 2010-04-19 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891112579 | Isaac Hinton | Surgery | 4480 Utica Ridge Rd Ste 1124, Bettendorf, IA 52722-1644 | 2014-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730798810 | Abhinav Seth | Surgery | 200 Hawkins Dr Dept of Organ Transplant Center, Iowa City, IA 52242-1009 | 2020-07-24 |
| 1073137485 | Jeremy Chang | Surgery | 200 Hawkins Dr Dept of Surgery, Iowa City, IA 52242-1009 | 2020-06-01 |
| 1013579077 | Apoorve Nayyar | Surgery | 200 Hawkins Dr # Surgery, Iowa City, IA 52242-1009 | 2019-06-30 |
| 1093207268 | Rafael Alejandro Ramos Vecchio | Surgery | 200 Hawkins Dr Dept Surgery, Iowa City, IA 52242-1009 | 2018-06-04 |
| 1942714514 | Donald Joseph Anderson | Surgery | 3317 Southern Hills Dr, Des Moines, IA 50321-1434 | 2017-11-19 |
| 1609304336 | Catherine Tran | Surgery | 200 Hawkins Dr Dept Gensurg, Iowa City, IA 52242-1009 | 2017-05-25 |
| 1215376298 | Accelecare Wound Professionals LLC | Surgery | 4225 Fleur Dr # 190, Des Moines, IA 50321-2325 | 2013-06-23 |
| 1952749111 | Abhishek Krishna Kashyap | Surgery | Department of Surgery, 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2013-06-10 |
| 1063858553 | Phillip Gabriel Bailey | Surgery | 1515 Delhi St Ste 200, Dubuque, IA 52001-6320 | 2013-05-11 |
| 1487948824 | John Gary Armstrong | Surgery | 210 East 5th St, Storm Lake, IA 50588 | 2011-06-02 |
| Find all providers with the same taxonomy | ||||
| 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.