MISS CAITLYN CLARE HONAN (NPI# 1346856846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346856846 |
| Entity Type | Individual |
| Full Name | MISS CAITLYN CLARE HONAN |
| Other Name | MRS. CAITLYN CLARE WAGENBACH |
| Credential | PA-S |
| Practice Address |
518 W Locust St Davenport IA 52803-2829 |
| Practice Telephone | 5633335886 |
| Mailing Telephone | 5633335827 |
| Enumeration Date | 2020-09-20 |
| Last Update Date | 2020-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
518 W LOCUST ST |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52803-2829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205872652 | Dean J Beauchamp | Specialist/Technologist | 518 W Locust St, Davenport, IA 52803-2829 | 2006-06-22 |
| 1679189146 | Matthew Theodore Wieskamp | Physician Assistant | 518 W Locust St, Davenport, IA 52803-2829 | 2020-09-21 |
| 1437765005 | Kara Breanne Wesner | Physician Assistant | 518 W Locust St, Davenport, IA 52803-2829 | 2020-09-19 |
| 1861008443 | Justyna Wojtyczka | Physician Assistant | 518 W Locust St, Davenport, IA 52803-2829 | 2020-09-19 |
| 1558977165 | Benjamin Trewyn | Physician Assistant | 518 W Locust St, Davenport, IA 52803-2829 | 2020-09-18 |
| 1467068064 | Jacqueline Brine-doyle | Physician Assistant | 518 W Locust St, Davenport, IA 52803-2829 | 2020-09-18 |
| 1972119667 | Ashley Mae Holubar | Physician Assistant | 518 W Locust St, Davenport, IA 52803-2898 | 2020-09-18 |
| 1679189211 | Amber Lynne Leytem | Physician Assistant | 518 W Locust St, Davenport, IA 52803-2829 | 2020-09-18 |
| 1023624707 | Samantha Joann Clarke | Physician Assistant | 518 W Locust St, Davenport, IA 52803-2829 | 2020-09-18 |
| 1982210514 | Carly Kristine Ouverson | Student in an Organized Health Care Education/Training Program | 518 W Locust St, Davenport, IA 52803-2829 | 2020-09-18 |
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| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
| 1598371270 | Samantha Delores Gartner | Physician Assistant | 518 W Locust St # 287, Davenport, IA 52803-2829 | 2020-09-18 |
| 1598229262 | Katherine E. Asprey | Physician Assistant | 1800 E 54th St Ste B, Davenport, IA 52807-2852 | 2019-01-28 |
| 1588177182 | Kelsey Alexandra Schaeffer | Physician Assistant | 2302 North Blvd W Ste A, Davenport, FL 33837-8923 | 2017-11-06 |
| 1467907360 | Melina Norberto | Physician Assistant | 141 Webb Dr Ste 300, Davenport, FL 33837-3951 | 2016-08-20 |
| 1063815017 | Carissa L Pardekooper | Physician Assistant | 1800 E. 54th Street, Ste B, Davenport, IA 52807-2763 | 2014-10-06 |
| 1548661457 | Malwina Huzarska | Physician Assistant | 127 Oak Promenade Ct, Davenport, FL 33896-8163 | 2014-09-10 |
| 1871934851 | Benjamin J Kolner | Physician Assistant | 3385 Dexter Ct Ste 103, Davenport, IA 52807-3471 | 2013-07-08 |
| 1528303799 | Kajalben Patel | Physician Assistant | 2209 North Blvd W, Davenport, FL 33837-8903 | 2012-11-29 |
| 1710959622 | Jose Luis Lizardi | Physician Assistant | 306 Hollingshead Loop, Davenport, FL 33896-7829 | 2006-02-03 |
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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.