JENNIFER G GIST (NPI# 1306841168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306841168 |
| Entity Type | Individual |
| Full Name | JENNIFER G GIST |
| Other Name | JENNIFER G CARR |
| Credential | MD |
| Practice Address |
865 Lincoln Rd Ste 200 Bettendorf IA 52722-4159 |
| Mailing Address |
865 Lincoln Rd Ste L10 Bettendorf IA 52722-4159 |
| Practice Telephone | 5633448600 |
| Practice Fax Number | 5633442967 |
| Mailing Telephone | 5633559191 |
| Mailing Fax Number | 5633553419 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 33452 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| JOHN DEERE HEALTH PLAN | IA0132 | 01 | |
| IA | 1207886 | 05 | |
| IOWA HEALTH SOLUTIONS | 152589 | 01 | |
| HEALTH ALLIANCE | 059729 | 01 | |
| IA | WELLMARK BC/BS | 29717 | 01 |
| Street Address |
865 LINCOLN RD STE 200 |
| City | BETTENDORF |
| State | IA |
| Zip Code | 52722-4159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427053842 | Steven J Aguilar | Family Medicine | 865 Lincoln Rd, Ste 400, Bettendorf, IA 52722-4159 | 2005-06-14 |
| 1972955169 | State University of Iowa | Dermatology | 865 Lincoln Rd, Bettendorf, IA 52722-4190 | 2016-07-12 |
| 1295196798 | Genesis Health System | Pathology | 865 Lincoln Rd, Suite L10, Bettendorf, IA 52722-4190 | 2016-03-10 |
| 1295144053 | Carli Schieferdecker | Speech-Language Pathologist | 865 Lincoln Rd, Ste L10, Bettendorf, IA 52722-4190 | 2014-08-06 |
| 1699102863 | Genesis Health System | Pediatrics | 865 Lincoln Rd, Suite 200, Bettendorf, IA 52722-4190 | 2013-10-03 |
| 1215286232 | Stephany Marie Brimeyer | Dietitian, Registered | 865 Lincoln Rd, Suite 500, Bettendorf, IA 52722-4190 | 2012-09-05 |
| 1770879017 | Julia Catherine Hensch | Pediatrics | 865 Lincoln Rd, Suite 200, Bettendorf, IA 52722-4190 | 2011-06-24 |
| 1285954594 | Jason Cort Hagemann | Family Medicine | 865 Lincoln Rd, Suite 400, Bettendorf, IA 52722-4190 | 2010-06-09 |
| 1477654945 | Genesis Health System | Neuromusculoskeletal Medicine & OMM | 865 Lincoln Rd, Ste L10, Bettendorf, IA 52722-4190 | 2006-09-26 |
| 1023112448 | Genesis Health System | Family Medicine | 865 Lincoln Rd, Suite 400, Bettendorf, IA 52722-4190 | 2006-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198855 | Wellspire-bettendorf LLC | Skilled Nursing Facility | 4699 53rd Ave, Bettendorf, IA 52722 | 2020-09-15 |
| 1558873315 | Erin M Kohrt | Speech-Language Pathologist | 2500 Grant Street, Bettendorf, IA 52722 | 2017-11-01 |
| 1437680295 | Holli Christine Martin | Chiropractor | 3048 Victoria St., Bettendorf, IA 52722 | 2017-03-23 |
| 1598219552 | Alyssa Renee Matz | Counselor | 2435 Kimberly Rd Ste 96, Bettendorf, IA 52722 | 2016-08-08 |
| 1144625021 | Athletico Ltd | Physical Therapist | 3252 Ridge Point, Bettendorf, IA 52722 | 2014-11-04 |
| 1609282862 | Katherine L Browne | Nurse Practitioner | 1351 Kimberly Rd Ste 100, Bettendorf, IA 52722 | 2014-07-09 |
| 1316357494 | Kayla Leigh Ehrman | Family Medicine | 2535 Maplecrest Rd Ste 16, Bettendorf, IA 52722 | 2014-04-29 |
| 1043648454 | Duane Anthony Halbur Jr. | Counselor | 2420 Salem Ct, Bettendorf, IA 52722 | 2013-10-22 |
| 1376881185 | Christopher D Murphy | Physical Therapist | 2300 53rd Ave Ll02, Bettendorf, IA 52722 | 2013-01-29 |
| 1326386574 | Kelly C Harry | Occupational Therapist | 3470 Utica Ridge Road, Suite 4, Bettendorf, IA 52722 | 2013-01-23 |
| Find all providers in zip 52722 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699102863 | Genesis Health System | Pediatrics | 865 Lincoln Rd, Suite 200, Bettendorf, IA 52722-4190 | 2013-10-03 |
| 1942562467 | Bettendorf Pediatric Group | Pediatrics | 4017 Devils Glen Rd, Suite 200, Bettendorf, IA 52722-7259 | 2012-06-11 |
| 1770879017 | Julia Catherine Hensch | Pediatrics | 865 Lincoln Rd, Suite 200, Bettendorf, IA 52722-4190 | 2011-06-24 |
| 1932203353 | Genesis Health System | Pediatrics | 865 Lincoln Rd, Ste 200, Bettendorf, IA 52722-4190 | 2006-09-08 |
| 1932177094 | Badanaval N Nagendra | Pediatrics | 4017 Devils Glen Rd, Suite 200, Bettendorf, IA 52722-7221 | 2006-03-14 |
| 1245205269 | Narinder Kumar | Pediatrics | 4017 Devils Glen Rd, Suite 200, Bettendorf, IA 52722-7221 | 2006-02-22 |
| 1982600797 | Carol A Walton | Pediatrics | 865 Lincoln Rd, Ste 200, Bettendorf, IA 52722-4159 | 2005-06-27 |
| 1205832110 | Dee M Stumphy | Pediatrics | 865 Lincoln Rd, Ste 200, Bettendorf, IA 52722-4159 | 2005-06-24 |
| 1275538209 | Linda M Delessio | Pediatrics | 865 Lincoln Rd, Ste 200, Bettendorf, IA 52722-4159 | 2005-06-16 |
| 1932104858 | Robert F Anderson | Pediatrics | 865 Lincoln Rd, Ste 210, Bettendorf, IA 52722-4190 | 2005-06-16 |
| Find all providers in BETTENDORF | ||||
| City | BETTENDORF |
| Zip Code | 52722 |
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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.