INTERNAL MEDICINE ASSOCIATES PROF CORP (NPI# 1154357416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154357416 |
| Entity Type | Organization |
| Organization Name | INTERNAL MEDICINE ASSOCIATES PROF CORP |
| Practice Address |
1230 E Rusholme St Suite 303 Davenport IA 52803-2467 |
| Mailing Address |
1230 E Rusholme St Suite 303 Davenport IA 52803-2452 |
| Practice Telephone | 5633266273 |
| Practice Fax Number | 5633260098 |
| Mailing Telephone | 5633266273 |
| Mailing Fax Number | 5633260098 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2010-03-24 |
| Authorized Official Name | EDWIN V MOTTO (CEO) |
| Authorized Official Telephone | 5633266273 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
21256 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
1230 E RUSHOLME ST SUITE 303 |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52803-2467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902339 | Nancy J Agnew | Nurse Practitioner | 1230 E Rusholme St, Ste 301, Davenport, IA 52803-2400 | 2005-06-14 |
| 1023463890 | Caitlin J Wilson | Physician Assistant | 1230 E Rusholme St, Suite 150, Davenport, IA 52803-2452 | 2016-04-29 |
| 1770971038 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1230 E Rusholme St, Suite 303, Davenport, IA 52803-2452 | 2015-01-08 |
| 1912281940 | Child Protection Response Center | Pediatrics | 1230 E Rusholme St, Mob2, Lower Level, Suite 1, Davenport, IA 52803-2452 | 2011-10-10 |
| 1154643260 | France B Many | Nurse Practitioner | 1230 E Rusholme St, Suite 303, Davenport, IA 52803-2467 | 2010-02-17 |
| 1194957449 | Jody J Kealey | Dietitian, Registered | 1230 E Rusholme St, Suite 305, Davenport, IA 52803-2452 | 2009-08-20 |
| 1952567794 | Quad Cities Retina Consultants | Ophthalmology | 1230 E Rusholme St, Suite 107, Davenport, IA 52803-2400 | 2008-07-31 |
| 1518124841 | Amanda L Bailey | Optometrist | 1230 E Rusholme St, Ste 203, Davenport, IA 52803-2400 | 2008-05-22 |
| 1861508004 | Genesis Health System | Obstetrics & Gynecology | 1230 E Rusholme St, Davenport, IA 52803-2400 | 2006-08-21 |
| 1982654349 | Barbara Ann Harre | Pediatrics | 1230 E Rusholme St, Bldg. 2 Ll 01, Davenport, IA 52803-2400 | 2006-05-10 |
| Find all providers in the same location | ||||
| 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 | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841217916 | Renal Dialysis Associates of Davenport,p.c. | Internal Medicine | 1228 E Rusholme St Ste 8, Davenport, IA 52803-2467 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598935488 | Kidney Specialists, PC | Internal Medicine | 25058 189th St, Bettendorf, IA 52722-7343 | 2008-03-06 |
| 1265458681 | Jason Matthew Cogdill | Internal Medicine | 115 Eighth Street Ne, Cedar Rapids, IA 52401-1097 | 2006-07-15 |
| 1871530055 | Jobinson Thomas | Internal Medicine | 411 Laurel St Ste 2350, Des Moines, IA 50314-3026 | 2006-05-31 |
| 1154377463 | Anwar Ahmed | Internal Medicine | 543 7th Street Se, Cedar Rapids, IA 52401 | 2006-05-26 |
| 1326094095 | Caridad C Tan | Internal Medicine | 2730 Pierce St Ste 402a, Sioux City, IA 51104-3766 | 2006-05-25 |
| 1043265176 | Sharon K Fey | Internal Medicine | 700 4th Street, Ste 410, Sioux City, IA 51101 | 2006-05-24 |
| 1407801053 | Min-hwa Hwa Chow | Internal Medicine | 600 4th Street, Suite 103, Sioux City, IA 51101-1415 | 2006-05-23 |
| 1518969104 | Prem K.g. Chandran | Internal Medicine | 411 Laurel St, Suite 2350, Des Moines, IA 50314 | 2005-08-12 |
| 1063418374 | Mouhamed Walid Al Sheikha | Internal Medicine | 200 Cody Rd S, Le Claire, IA 52753-9579 | 2005-06-22 |
| 1326041450 | Bruce Lewis Buchsbaum | Internal Medicine | 501 Sw 7th St, Ste A, Des Moines, IA 50309-4538 | 2005-05-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on INTERNAL MEDICINE ASSOCIATES PROF CORP.
| 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.