JOHANNA B WHALEN (NPI# 1508862434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508862434 |
| Entity Type | Individual |
| Full Name | JOHANNA B WHALEN |
| Credential | MD |
| Practice Address |
1230 E Rusholme St Ste 301 Davenport IA 52803-2400 |
| Mailing Address |
865 Lincoln Rd Ste L10 Bettendorf IA 52722-4159 |
| Practice Telephone | 5633229150 |
| Practice Fax Number | 5633229148 |
| Mailing Telephone | 5633559191 |
| Mailing Fax Number | 5633553419 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
21524 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WELLMARK HEALTH PLAN | 40031 | 01 | |
| IA | 4009233 | 05 | |
| IOWA HEALTH SOLUTIONS | 19970 | 01 | |
| DMERC | 4796890013 | 01 | |
| JOHN DEERE HEALTH PLAN | IA0161 | 01 | |
| HEALTH ALLIANCE | 029185 | 01 |
| Street Address |
1230 E RUSHOLME ST STE 301 |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52803-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902339 | Nancy J Agnew | Nurse Practitioner | 1230 E Rusholme St, Ste 301, Davenport, IA 52803-2400 | 2005-06-14 |
| 1023463890 | Caitlin J Wilson | Physician Assistant | 1230 E Rusholme St, Suite 150, Davenport, IA 52803-2452 | 2016-04-29 |
| 1770971038 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1230 E Rusholme St, Suite 303, Davenport, IA 52803-2452 | 2015-01-08 |
| 1912281940 | Child Protection Response Center | Pediatrics | 1230 E Rusholme St, Mob2, Lower Level, Suite 1, Davenport, IA 52803-2452 | 2011-10-10 |
| 1154643260 | France B Many | Nurse Practitioner | 1230 E Rusholme St, Suite 303, Davenport, IA 52803-2467 | 2010-02-17 |
| 1194957449 | Jody J Kealey | Dietitian, Registered | 1230 E Rusholme St, Suite 305, Davenport, IA 52803-2452 | 2009-08-20 |
| 1952567794 | Quad Cities Retina Consultants | Ophthalmology | 1230 E Rusholme St, Suite 107, Davenport, IA 52803-2400 | 2008-07-31 |
| 1518124841 | Amanda L Bailey | Optometrist | 1230 E Rusholme St, Ste 203, Davenport, IA 52803-2400 | 2008-05-22 |
| 1861508004 | Genesis Health System | Obstetrics & Gynecology | 1230 E Rusholme St, Davenport, IA 52803-2400 | 2006-08-21 |
| 1154357416 | Internal Medicine Associates Prof Corp | Internal Medicine | 1230 E Rusholme St, Suite 303, Davenport, IA 52803-2467 | 2006-06-25 |
| Find all providers in the same location | ||||
| 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 | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285664250 | Mark Griffo | Obstetrics & Gynecology | 2506 Sand Mine Rd, Davenport, FL 33897-3402 | 2006-07-04 |
| 1467625418 | All About Women Pllc | Obstetrics & Gynecology | 2508 Sand Mine Rd, Davenport, FL 33897-3402 | 2008-04-10 |
| 1861508004 | Genesis Health System | Obstetrics & Gynecology | 1230 E Rusholme St, Davenport, IA 52803-2400 | 2006-08-21 |
| 1982622379 | Trudi Griffo | Obstetrics & Gynecology | 2506 Sand Mine Rd, Davenport, FL 33897-3402 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952953812 | Comprehensive Women's Health, P.C. | Obstetrics & Gynecology | 227 E San Marnan Dr Ste 1, Waterloo, IA 50702-5829 | 2019-07-11 |
| 1396062311 | Gwendoline Fang | Obstetrics & Gynecology | 1015 S. Hackett Road Suite 200, Department of Ob/gyn, Waterloo, IA 50701 | 2010-04-29 |
| 1295713261 | Northwest Iowa Surgeons PC | Obstetrics & Gynecology | 1823 Highway Blvd Ste 5, Spencer, IA 51301-2226 | 2006-01-09 |
| 1811995517 | Douglas L Stanford | Obstetrics & Gynecology | 432 King Dr, Waterloo, IA 50702-5956 | 2005-07-07 |
| 1407147911 | Eugenia Mazur | Obstetrics & Gynecology | 200 Hawkins Dr, Iowa City, IA 52242-1007 | 2011-05-02 |
| 1265608244 | Albert J Mintzer | Obstetrics & Gynecology | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2008-04-30 |
| 1770773509 | Elizabeth Bussewitz | Obstetrics & Gynecology | 855 A Ave Ne, Cedar Rapids, IA 52402-5050 | 2007-07-27 |
| 1811108558 | Mt. Pleasant Center for Women's Health, PC | Obstetrics & Gynecology | 407 S White St, Suite 104, Mt Pleasant, IA 52641-2262 | 2007-05-24 |
| 1174743389 | Diana Kay Kaufman | Obstetrics & Gynecology | 909 Sw Oralabor Rd, Ankeny, IA 50023-7004 | 2007-04-27 |
| 1760607394 | Kathleen Michele Dorcey Lafavor | Obstetrics & Gynecology | 1000 Jackson St, Sioux City, IA 51105-1431 | 2007-04-17 |
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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.