AEON GROUP HST (NPI# 1457600157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457600157 |
| Entity Type | Organization |
| Organization Name | AEON GROUP HST |
| Practice Address |
1801 E 54th St Suite 200 Davenport IA 52807-7209 |
| Practice Telephone | 5633861904 |
| Practice Fax Number | 8668992592 |
| Mailing Telephone | 5633861904 |
| Mailing Fax Number | 8668992592 |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2012-09-10 |
| Authorized Official Name | PENNY T GRUNDER (PROJECT MANAGER) |
| Authorized Official Telephone | 5633861904 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
IA | Ambulatory Health Care Facilities |
| Street Address |
1801 E 54TH ST SUITE 200 |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807-7209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104891704 | Akshay Kantilal Mahadevia | Internal Medicine | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2006-02-17 |
| 1831645308 | Maureen Gulatto | Nurse Practitioner | 1801 E 54th St, Suite 100, Davenport, IA 52807-7209 | 2016-08-25 |
| 1336564038 | Andrea Odvarko | Nurse Practitioner | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2014-03-04 |
| 1740618735 | Jennifer A Mayer | Nurse Practitioner | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2013-10-29 |
| 1023356672 | J&s Kelly LLC | Durable Medical Equipment & Medical Supplies | 1801 E 54th St, Suite 200, Davenport, IA 52807-7209 | 2013-01-16 |
| 1649527045 | Emily Cathryn Maiers | Nurse Practitioner | 1801 E 54th St, Suite 100, Davenport, IA 52807-7209 | 2012-08-06 |
| 1770819591 | Anand Kommuri | Internal Medicine | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2009-10-29 |
| 1013982610 | Humphrey Wong | Internal Medicine | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2006-02-17 |
| 1740255348 | Brian Gross | Internal Medicine | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2006-02-17 |
| 1477528073 | Paulette Ong | Physician Assistant | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2006-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710455423 | Sarah Duvall | Pharmacist | 2790 East 53rd Street, Davenport, IA 52807 | 2018-11-12 |
| 1932686375 | Costco Wholesale Corporation | Hearing Aid Equipment | 2790 East 53rd St., Davenport, IA 52807 | 2018-07-27 |
| 1902258379 | Secure Dental II, LLC | Dentist | 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 | 2016-07-08 |
| 1003288663 | Kristin Landram | Pharmacist | 4011 E 53rd Street, Davenport, IA 52807 | 2015-10-22 |
| 1912384918 | Toshia Johnson | Counselor | 3515 Spring Street, Davenport, IA 52807 | 2015-04-29 |
| 1366849440 | Dennis Aaron Brown | Counselor | 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 | 2014-12-04 |
| 1033514914 | Rachel J Staron | Counselor | 2028 E 38th St Ste 3-5, Davenport, IA 52807 | 2014-11-04 |
| 1447651518 | Anthony B. Dexter | Chiropractor | 2178 E Kimberly Rd Ste 400, Davenport, IA 52807 | 2014-09-09 |
| 1932517588 | Alan Christopher Rubach | Dentist | 3435 Spring St Ste 2, Davenport, IA 52807 | 2014-07-28 |
| 1851707459 | Allison Maxwell | Behavioral Analyst | 4959 Utica Ridge Rd, Davenport, IA 52807 | 2014-07-03 |
| Find all providers in zip 52807 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740671387 | True Lifestyle Medicine Clinic, LLC | Clinic/Center | 2320 Windsor Ct, Davenport, IA 52807-1438 | 2015-02-17 |
| 1770839300 | Aeon Sleep Group | Clinic/Center | 730 E Kimberly Rd, Suite C, Davenport, IA 52807-1621 | 2012-08-01 |
| 1386977544 | Hansel Family Eyecare, P.C. | Clinic/Center | 320 W Kimberly Rd, Ste. #28, Davenport, IA 52806-5920 | 2009-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523095 | Womens Care Specialists PC | Clinic/Center | 4480 Utica Ridge Rd Ste 140, Bettendorf, IA 52722-1637 | 2020-03-19 |
| 1356846414 | Iowa Dermatology Clinic Plc | Clinic/Center | 3053 8th Street, Suite 200, Altoona, IA 50009 | 2018-03-29 |
| 1225462260 | Mercy Clinics, Inc | Clinic/Center | 1601 Nw 114th St Ste 240, Clive, IA 50325-7036 | 2013-08-27 |
| 1336408640 | Healthsource of Iowa City, PC | Clinic/Center | 960 S 1st Ave, Iowa City, IA 52245-5210 | 2012-05-07 |
| 1790069243 | Infectious Disease Physicians of Iowa City | Clinic/Center | 540 E Jefferson St Ste 306, Iowa City, IA 52245-2479 | 2011-10-03 |
| 1558520817 | Womens Care Specialists PC | Clinic/Center | 507 S Fourth St, Clinton, IA 52732-0000 | 2008-06-03 |
| 1790950590 | Ball Clinic of Chiropractic P.l.c. | Clinic/Center | 622 N Linn Ave, New Hampton, IA 50659-1236 | 2008-04-23 |
| 1770555971 | Moran Eye Center PC | Clinic/Center | 2001 Hamilton Blvd, Ste D, Sioux City, IA 51104 | 2006-02-02 |
| 1720081524 | Midwest Radiology and Imaging PC | Clinic/Center | 1200 1st Ave E, Spencer, IA 51301-4342 | 2005-05-24 |
| 1952908956 | Darbie Little-cooper, Pllc | Clinic/Center | 1570 S 1st Ave, Iowa City, IA 52240-6012 | 2020-10-03 |
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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.