DAVENPORT CLINIC, P.C. (NPI# 1235118118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235118118 |
| Entity Type | Organization |
| Organization Name | DAVENPORT CLINIC, P.C. |
| Practice Address |
1820 W 3rd St Davenport IA 52802-1812 |
| Practice Telephone | 5633261661 |
| Practice Fax Number | 5633261901 |
| Mailing Telephone | 5633261661 |
| Mailing Fax Number | 5633261901 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2009-12-30 |
| Authorized Official Name | BETTE MEADE (OFFICE MANAGER) |
| Authorized Official Telephone | 5633261661 |
| Is Organization Subpart | Y |
| Parent Organization Name | DAVENPORT CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
1820 W 3RD ST |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52802-1812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356347793 | Margaret E Newkirk | Nurse Practitioner | 1820 W 3rd St, Davenport, IA 52802-1812 | 2005-06-21 |
| 1750876751 | Meghan Lynne Grothus | Nurse Practitioner | 1820 W 3rd St, Davenport, IA 52802-1812 | 2018-06-22 |
| 1104336924 | Kelsey Lynn Barger | Physician Assistant | 1820 W 3rd St, Davenport, IA 52802-1812 | 2017-10-06 |
| 1942721584 | Shawna Brit Fury | Nurse Practitioner | 1820 W 3rd St, Davenport, IA 52802-1812 | 2017-07-05 |
| 1528434065 | Quad City Occupational Health | Clinic/Center | 1820 W 3rd St, Davenport, IA 52802-1812 | 2015-08-19 |
| 1518355353 | Stephanie Dittmer | Physical Therapy Assistant | 1820 W 3rd St, Davenport, IA 52802-1812 | 2015-01-01 |
| 1306259767 | Koel Joseph Brooks | Physical Therapist | 1820 W 3rd St, Davenport, IA 52802-1812 | 2014-06-03 |
| 1568899649 | Braaten Health Outpatient Services | Clinic/Center | 1820 W 3rd St, Davenport, IA 52802-1812 | 2013-10-03 |
| 1124454947 | Genesis Health System | Family Medicine | 1820 W 3rd St, Davenport, IA 52802-1812 | 2013-09-25 |
| 1538509443 | Regan A Cone | Family Medicine | 1820 W 3rd St, Davenport, IA 52802-1812 | 2013-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962042465 | William Albert Childers Jr. | Technician | 1455 W. 8th St., Davenport, IA 52802 | 2020-01-13 |
| 1790293181 | Amy Ruth Allison | Counselor | 1523 S. Fairmount St., Davenport, IA 52802 | 2018-01-19 |
| 1245236942 | Center for Alchol & Drug Services, Inc. | Clinic/Center | 1523 S Fairmount St, Davenport, IA 52802 | 2005-06-27 |
| 1043467269 | Cindy May Hannon | General Acute Care Hospital | 1848 W 7th St, Davenport, IA 52802-1029 | 2008-08-19 |
| 1205063096 | Ryan Bobst | Student in an Organized Health Care Education/Training Program | 1229 W 8th St, Davenport, IA 52802-1331 | 2009-06-18 |
| 1902033673 | Angela C Wells | Social Worker | 1229 W 8th St, Davenport, IA 52802-1331 | 2009-06-19 |
| 1891922563 | Christy A Carter | Social Worker | 1229 W 8th St, Davenport, IA 52802-1331 | 2009-06-19 |
| 1548892359 | Annemarie Irene Chambliss | Counselor | 1202 W 3rd St, Davenport, IA 52802-1344 | 2020-02-10 |
| 1457909103 | Margaret Olin Meloy | Social Worker | 1202 W 3rd St, Davenport, IA 52802-1344 | 2019-08-27 |
| 1629544929 | Rebecca Schroeder | Behavior Technician | 1202 W 3rd St, Davenport, IA 52802-1344 | 2018-10-15 |
| Find all providers in zip 52802 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750544706 | Citrus Family Medical Center LLC | Clinic/Center | 1485 Legends Boulevard, Davenport, FL 33896 | 2008-07-09 |
| 1346362357 | Nauman Zaffar | Clinic/Center | 7810 Lake Wilson Rd, Davenport, FL 33896-9605 | 2007-04-03 |
| 1578016820 | Family Care Physician Group | Clinic/Center | 45669 Highway 27, Davenport, FL 33897-4546 | 2016-08-03 |
| 1699186361 | Z Medical Center Inc | Clinic/Center | 7810 Lake Wilson Rd, Davenport, FL 33896-9605 | 2014-05-15 |
| 1174818447 | Quad Cities Pediatrics, P.C. | Clinic/Center | 5510 Utica Ridge Rd Ste 100, Davenport, IA 52807-2935 | 2011-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114568748 | Careatc | Clinic/Center | 3839 Merle Hay Rd Ste 120, Des Moines, IA 50310-1338 | 2019-10-04 |
| 1902269632 | Prairie City Family Clinic | Clinic/Center | 1316 Joshua Ct Se, Bondurant, IA 50035-4700 | 2016-03-31 |
| 1891176285 | Liautaud Family Chiropractic LLC | Clinic/Center | 114 1/2 E Monroe St, Pleasantville, IA 50225-7744 | 2015-06-11 |
| 1669893988 | Winneshiek Medical Center | Clinic/Center | 112 East Main St., Ossian, IA 52101 | 2014-01-06 |
| 1366882300 | Cedar Falls Pediatrics LLC | Clinic/Center | 113 E 18th St, Cedar Falls, IA 50613-4288 | 2013-07-03 |
| 1285996215 | Aguirrefamily Care | Clinic/Center | 1505 Lynx Ave, Webster City, IA 50595-2634 | 2012-06-14 |
| 1770853988 | Huff Chiropractic P.C. | Clinic/Center | 1010 Caroline Ter, Indianola, IA 50125-1009 | 2012-01-04 |
| 1073821427 | Cascade Medical Center | Clinic/Center | 610 2nd Ave Ne, Cascade, IA 52033-7760 | 2010-09-20 |
| 1184931230 | Farid Sadr, P.C. | Clinic/Center | 801 Harmony St Ste 202, Council Bluffs, IA 51503-3106 | 2010-09-10 |
| 1124357991 | George T. Kappos, Md | Clinic/Center | 109 2nd Street, Polk City, IA 50226 | 2009-12-08 |
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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.