QUAD CITY FAMILY PHYSICIANS, PC (NPI# 1265430961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265430961 |
Entity Type | Organization |
Organization Name | QUAD CITY FAMILY PHYSICIANS, PC |
Practice Address |
3940 N Marquette St Davenport IA 52806-4430 |
Practice Telephone | 5633863111 |
Mailing Telephone | 5633863111 |
Enumeration Date | 2005-07-07 |
Last Update Date | 2020-08-22 |
Authorized Official Name | ELIZABETH ESTILOW (OFFICE MANAGER) |
Authorized Official Telephone | 8774796525 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | ========= | IA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0293688 | 05 |
Street Address |
3940 N MARQUETTE ST |
City | DAVENPORT |
State | IA |
Zip Code | 52806-4430 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588662050 | Jason Davis | General Practice | 3940 N Marquette St, Davenport, IA 52806-4430 | 2005-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912543257 | June Swain | Nurse Practitioner | Quad City Family Physician, 3940 Marquette Street, Davenport, IA 52806 | 2019-11-21 |
1881055747 | Jace Carter | Chiropractor | 235 West 35th Street Suite 2d, Davenport, IA 52806 | 2016-03-18 |
1538468210 | Cody Krech | Dentist | 141 E 46th St, Davenport, IA 52806 | 2011-03-21 |
1619287216 | Robert Earl Clark | Occupational Therapist | 6623 N Main St, Davenport, IA 52806 | 2010-10-15 |
1689902579 | Nicholas P. Carlson | Nurse Practitioner | 3801 Marguette Street, Suite 200, Davenport, IA 52806 | 2009-12-03 |
1295821114 | David Lee Botsko | Dentist | 2334 W. Kimberly Road, Davenport, IA 52806 | 2006-10-05 |
1598712903 | Select Specialty Hospital - Quad Cities Inc | Long Term Care Hospital | 1111 West Kimberly Road, Davenport, IA 52806 | 2006-05-30 |
1528030350 | Warren Wright | Occupational Therapist | 1008 W 35th St, Davenport, IA 52806 | 2006-02-06 |
1144291568 | Gerald Wallace Hess | Chiropractor | 2711 W 63rd St, Ste #1, Davenport, IA 52806 | 2006-02-01 |
1487642286 | Virginia Armstrong | Chiropractor | 4811 N Brady St Ste 1a, Davenport, IA 52806 | 2005-10-06 |
Find all providers in zip 52806 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1548681950 | Jmj3 Heritage, L.L.C. | General Practice | 3800 Commerce Blvd, Davenport, IA 52807-3495 | 2014-01-02 |
1144510124 | Keyshla Marie Rivera Baez | General Practice | 111 Webb Dr, Davenport, FL 33837 | 2011-04-12 |
1477709160 | Ladapo Shyngle | General Practice | 121 Webb Dr, Suite 100, Davenport, FL 33837-3904 | 2008-08-13 |
1093852113 | Teodoro Medina | General Practice | 111 Webb Dr, Davenport, FL 33837-3962 | 2007-01-30 |
1306802905 | Charlene Edmee D'acosta | General Practice | 111 Webb Dr, Davenport, FL 33837 | 2006-04-22 |
Find all providers in DAVENPORT |
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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.