MS. PAULETTE ONG (NPI# 1477528073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477528073 |
| Entity Type | Individual |
| Full Name | MS. PAULETTE ONG |
| Credential | PA-C |
| Practice Address |
1801 E 54th St Ste 100 Davenport IA 52807-7209 |
| Practice Telephone | 5633231229 |
| Practice Fax Number | 5633238240 |
| Mailing Telephone | 5633231229 |
| Mailing Fax Number | 5633238240 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2012-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
085001740 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
001272 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | RAILROAD MEDICARE | 970024406 | 01 |
| IL | RAILROAD MEDICARE | 970024407 | 01 |
| Street Address |
1801 E 54TH ST STE 100 |
| 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 |
| 1457600157 | Aeon Group Hst | Clinic/Center | 1801 E 54th St, Suite 200, Davenport, IA 52807-7209 | 2012-09-10 |
| 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 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
| 1861008443 | Justyna Wojtyczka | Physician Assistant | 518 W Locust St, Davenport, IA 52803-2829 | 2020-09-19 |
| 1962891499 | Kristian Delanie Williams | Physician Assistant | 40124 Highway 27, Suite 104, Davenport, FL 33837-5905 | 2015-01-21 |
| 1457696080 | Karyl Hobbs | Physician Assistant | 2502 Sand Mine Rd, Davenport, FL 33897-3402 | 2012-12-07 |
| 1992094049 | Davenport Medical Center LLC | Physician Assistant | 203 N Broadway, Davenport, OK 74026 | 2011-03-29 |
| 1699913061 | Nicole Marie Luszczyk | Physician Assistant | 2322 E Kimberly Rd, Ste 100n, Davenport, IA 52807-7205 | 2009-01-23 |
| 1790742864 | Jeremy J Mcgrath | Physician Assistant | 3385 Dexter Ct, Ste 101, Davenport, IA 52807-3471 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306468434 | Nichole Marie Steffens | Physician Assistant | 2371 County Road B32, Fort Atkinson, IA 52144-7414 | 2020-05-12 |
| 1295282325 | Courtney Lowy | Physician Assistant | 3850 Merle Hay Rd Ste 500, Des Moines, IA 50310-1322 | 2016-09-07 |
| 1447641618 | West Broadway Clinic, P.C. | Physician Assistant | 1701 W Broadway, Council Bluffs, IA 51501-3822 | 2015-02-10 |
| 1972858397 | Sarah Beth Nace | Physician Assistant | 2346 Mormon Trek Blvd Ste 1500, Iowa City, IA 52246-4368 | 2012-07-23 |
| 1528313350 | Stephanie Elaine Fangman | Physician Assistant | 709 W Main St Ste 3, Manchester, IA 52057-1526 | 2012-07-18 |
| 1679707947 | Integrative Medicine Consultants, Inc. | Physician Assistant | 507 Main Avenue, Clear Lake, IA 50428 | 2009-05-14 |
| 1992960876 | Cass County Memorial Hospital Rhc | Physician Assistant | 1501 E 10th St Ste 100, Atlantic, IA 50022-1936 | 2008-07-21 |
| 1629265368 | Hannah Joy Lokenvitz | Physician Assistant | 700 2nd St Se Ste 101, Hampton, IA 50441-2655 | 2007-09-26 |
| 1568658532 | Angela K Grundmeyer | Physician Assistant | 1215 Pleasant St Ste 100, Des Moines, IA 50309-1409 | 2007-09-24 |
| 1235251034 | Von L Miller | Physician Assistant | 6000 University Ave Lakeview Medical Park, Suite 124, West Des Moines, IA 50266 | 2007-04-04 |
| Find all providers with the same taxonomy | ||||
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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.