THE GASTROENTEROLOGY CLINIC, PLC (NPI# 1215979919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215979919 |
| Entity Type | Organization |
| Organization Name | THE GASTROENTEROLOGY CLINIC, PLC |
| Practice Address |
1223 S Gear Ave Suite 201 West Burlington IA 52655-1682 |
| Practice Telephone | 3197589075 |
| Practice Fax Number | 3197589079 |
| Mailing Telephone | 3197589075 |
| Mailing Fax Number | 3197589079 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2008-03-17 |
| Authorized Official Name | DR. DANIEL PEASLEY (PHYSICIAN) |
| Authorized Official Telephone | 3197589075 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
03066 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | RR MEDICARE | DE9199 | 01 |
| IA | 1151191 | 05 | |
| IA | BLUE CROSS | 58751 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | THE GASTROENTEROLOGY CLINIC, PLC | Rr1 116, Stronghurst, IL 61480 |
| Street Address |
1223 S GEAR AVE SUITE 201 |
| City | WEST BURLINGTON |
| State | IA |
| Zip Code | 52655-1682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821095027 | Daniel J. Peasley | Internal Medicine | 1223 S Gear Ave, #205, West Burlington, IA 52655-1682 | 2005-07-01 |
| 1689115727 | Meredith Alicia Lee | Nurse Practitioner | 1223 S Gear Ave, #304, West Burlington, IA 52655-1682 | 2017-03-08 |
| 1346795226 | Dawn Marie Rohrer | Nurse Practitioner | 1223 S Gear Ave, West Burlington, IA 52655-1682 | 2016-08-19 |
| 1083168967 | Brandy Parker | Nurse Practitioner | 1223 S Gear Ave, Eastman Plaza, Suite 304, West Burlington, IA 52655-1682 | 2016-08-09 |
| 1902270317 | Laura Lee Martin | Nurse Practitioner | 1223 S Gear Ave, Suite 208, Eastman Plaza, West Burlington, IA 52655-1682 | 2015-11-23 |
| 1457618100 | River Cities Ophthalmology, P.C. | Ophthalmology | 1223 S Gear Ave, 307 Eastman Plaza, West Burlington, IA 52655-1682 | 2012-04-19 |
| 1760790851 | Jane Ann Schuler | Nurse Practitioner | 1223 S Gear Ave, West Burlington, IA 52655-1682 | 2010-09-22 |
| 1275861080 | Norah Khangura | Ophthalmology | 1223 S Gear Ave, Eastman, Suite 309, West Burlington, IA 52655-1682 | 2009-12-07 |
| 1134387012 | Erin Margaret Haeger | Obstetrics & Gynecology | 1223 S Gear Ave, Ste 208, West Burlington, IA 52655-1682 | 2008-05-28 |
| 1598932204 | Elisabeth A Long | Nurse Practitioner | 1223 S Gear Ave, Ste 208, West Burlington, IA 52655-1682 | 2008-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679920045 | Breanne Vogel | Nurse Practitioner | 1225 South Gear Avenue, Suite 159, Great River Family Practice Clinic, West Burlington, IA 52655 | 2016-05-16 |
| 1639538010 | Kala Haisch | Nurse Practitioner | 1225 S. Gear Ave., Mercy Plaza, Suite 251, West Burlington, IA 52655 | 2016-02-15 |
| 1326305830 | Ryan Deets | Surgery | 1223 S Gear Ave Ste 202, West Burlington, IA 52655 | 2012-04-20 |
| 1912100173 | Jennifer Yancey | Dietitian, Registered | Great River Medical Center Center for Rehabilitation, 1401 W. Agency Rd., West Burlington, IA 52655 | 2007-06-06 |
| 1043348196 | Wilson Hearing Aids & Services Inc | Hearing Instrument Specialist | 313 E Agency Rd, West Burlington, IA 52655 | 2007-03-01 |
| 1730286204 | Eric A Hanks | Chiropractor | 433 E Mt Pleasant St, West Burlington, IA 52655 | 2006-09-19 |
| 1093825176 | Michael Steven Mathews | Dentist | 409 Layne Dr, West Burlington, IA 52655 | 2006-08-30 |
| 1952383259 | Craig Huston | Emergency Medical Technician, Basic | 1221d S Gear Ave, West Burlington, IA 52655 | 2005-11-14 |
| 1932101466 | Theron Jameson | Specialist | 1225 S Gear Ave, Ste 159, West Burlington, IA 52655 | 2005-08-15 |
| 1255339750 | Community Health Centers of Southeastern Iowa Inc | Internal Medicine | 1706 West Agency Road, West Burlington, IA 52655 | 2005-07-08 |
| Find all providers in zip 52655 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1821095027 | Daniel J. Peasley | Internal Medicine | 1223 S Gear Ave, #205, West Burlington, IA 52655-1682 | 2005-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538416052 | James W. Roat, M.d., P.C. | Internal Medicine | 2910 Hamilton Blvd Ste 103, Sioux City, IA 51104-2423 | 2012-08-14 |
| 1467743039 | Samyuktha Ramavaram | Internal Medicine | 4321 53rd Ave, Bettendorf, IA 52722-1269 | 2011-04-29 |
| 1639332745 | Bhavya Akhauri | Internal Medicine | 788 8th Avenue Se, Level 3, Cedar Rapids, IA 52401 | 2008-07-08 |
| 1124119185 | Songul Atay | Internal Medicine | 300 S Maple, Fairfield, IA 52556-3739 | 2006-09-27 |
| 1821022161 | Gastroenterology Associates PC | Internal Medicine | 2222 53rd Avenue, Bettendorf, IA 52753 | 2006-07-11 |
| 1275571747 | Iowa Digestive Disease Center P.C. | Internal Medicine | 1378 Nw 124th Street, Suite 200, Clive, IA 50325 | 2006-06-04 |
| 1437196045 | Gastroenterology Consultants PC | Internal Medicine | 801 Harmony St, Suite 201, Council Bluffs, IA 51503-3106 | 2006-06-01 |
| 1457331621 | James Roat | Internal Medicine | 2910 Hamilton Blvd, Ste 103, Sioux City, IA 51104-2423 | 2006-01-22 |
| 1275517658 | Dean A Abramson | Internal Medicine | 931 8th Ave Se, Cedar Rapids, IA 52401-2121 | 2005-11-30 |
| 1295717478 | Richard L Weyman Iv | Internal Medicine | 2222 53rd Ave, Bettendorf, IA 52722-7546 | 2005-11-15 |
| Find all providers with the same taxonomy | ||||
| City | WEST BURLINGTON |
| Zip Code | 52655 |
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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.