BOLGER AESTHESTICS, PC (NPI# 1124449780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124449780 |
| Entity Type | Organization |
| Organization Name | BOLGER AESTHESTICS, PC |
| Other Organization Name | MEDICAL AESTHETICS AND WELLNESS CENTER |
| Practice Address |
5510 Utica Ridge Rd Suite 300 Davenport IA 52807-2946 |
| Practice Telephone | 5633554813 |
| Practice Fax Number | 5635945161 |
| Mailing Telephone | 5633554813 |
| Mailing Fax Number | 5635945161 |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2014-01-31 |
| Authorized Official Name | PAUL BOLGER (OWNER) |
| Authorized Official Telephone | 5633554813 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Medical Aesthetics and Wellness Center | Doing Business As Name - Organization |
| Street Address |
5510 UTICA RIDGE RD SUITE 300 |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807-2946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871928093 | Catherine Ann Roche | Nurse Practitioner | 5510 Utica Ridge Rd, Suite 100, Davenport, IA 52807-2946 | 2013-09-06 |
| 1225679012 | Janessa Annette Montgomery | Nurse Practitioner | 5510 Utica Ridge Rd, Davenport, IA 52807-2946 | 2019-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710455423 | Sarah Duvall | Pharmacist | 2790 East 53rd Street, Davenport, IA 52807 | 2018-11-12 |
| 1932686375 | Costco Wholesale Corporation | Hearing Aid Equipment | 2790 East 53rd St., Davenport, IA 52807 | 2018-07-27 |
| 1902258379 | Secure Dental II, LLC | Dentist | 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 | 2016-07-08 |
| 1003288663 | Kristin Landram | Pharmacist | 4011 E 53rd Street, Davenport, IA 52807 | 2015-10-22 |
| 1912384918 | Toshia Johnson | Counselor | 3515 Spring Street, Davenport, IA 52807 | 2015-04-29 |
| 1366849440 | Dennis Aaron Brown | Counselor | 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 | 2014-12-04 |
| 1033514914 | Rachel J Staron | Counselor | 2028 E 38th St Ste 3-5, Davenport, IA 52807 | 2014-11-04 |
| 1447651518 | Anthony B. Dexter | Chiropractor | 2178 E Kimberly Rd Ste 400, Davenport, IA 52807 | 2014-09-09 |
| 1932517588 | Alan Christopher Rubach | Dentist | 3435 Spring St Ste 2, Davenport, IA 52807 | 2014-07-28 |
| 1851707459 | Allison Maxwell | Behavioral Analyst | 4959 Utica Ridge Rd, Davenport, IA 52807 | 2014-07-03 |
| Find all providers in zip 52807 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477719185 | Concentra Health Services, Inc. | Clinic/Center | 3540 East 46th St., Davenport, IA 52807 | 2008-08-01 |
| 1891395596 | Activate Healthcare | Clinic/Center | 4624 Progress Dr Ste A, Davenport, IA 52807-3490 | 2020-10-30 |
| 1275090557 | Wellness In You, LLC | Clinic/Center | 23580 220th St, Davenport, IA 52807-9428 | 2019-02-22 |
| 1790252096 | Innate Chiropractic, Plc | Clinic/Center | 3536 Jersey Ridge Rd, Davenport, IA 52807-2223 | 2018-10-25 |
| 1568899649 | Braaten Health Outpatient Services | Clinic/Center | 1820 W 3rd St, Davenport, IA 52802-1812 | 2013-10-03 |
| 1942640057 | Newsome Medical LLC | Clinic/Center | 121 Webb Dr, Suite 100, Davenport, FL 33837-3904 | 2013-07-03 |
| 1902057086 | American Current Care Pa | Clinic/Center | 3540 E 46th St, Davenport, IA 52807-3403 | 2008-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467951194 | Kite Family Chiropractic Plc | Clinic/Center | 1209 Sunnyside Ln, Atlantic, IA 50022-2203 | 2018-02-08 |
| 1154705085 | The Teggatz Clinic PC | Clinic/Center | 5100 Fountains Dr Ne, Suite 102, Cedar Rapids, IA 52411-6603 | 2015-07-09 |
| 1134551310 | Olson Chiropractic Health Center Pllc | Clinic/Center | 1510 Sw Oralabor Rd, Suite B, Ankeny, IA 50023-7079 | 2013-07-30 |
| 1205183159 | Veldhuizen Chiropractic & Wellness | Clinic/Center | 2668 315th St, Oskaloosa, IA 52577-8939 | 2012-08-09 |
| 1821369950 | Korver Eye Care | Clinic/Center | 3535 Southern Hills Dr, Sioux City, IA 51106-4749 | 2012-01-20 |
| 1861796898 | Absolute Wellness Center PC | Clinic/Center | 3030 Flint Hills Dr, Burlington, IA 52601 | 2011-01-05 |
| 1871893321 | Shoemate Orthotics Corp. | Clinic/Center | 162 Collins Rd Ne, Pmb 230, Cedar Rapids, IA 52402-3229 | 2010-11-01 |
| 1992978498 | Acupuncture of Iowa, Inc | Clinic/Center | 1201 Wade St., Iowa City, IA 52240-2516 | 2008-04-07 |
| 1598952855 | Brown Family Practice, Plc | Clinic/Center | 1250 Washington St, Eldora, IA 50627-1630 | 2007-10-01 |
| 1770118671 | Reil Performance, LLC | Clinic/Center | 116 Brick St Se, Bondurant, IA 50035-2125 | 2020-03-11 |
| Find all providers with the same taxonomy | ||||
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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.