QUAD CITY PROSTHETIC INC (NPI# 1578794624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578794624 |
| Entity Type | Organization |
| Organization Name | QUAD CITY PROSTHETIC INC |
| Practice Address |
2207 E 52nd St Ste 1 Davenport IA 52807 |
| Mailing Address |
741 W Main St Peoria IL 61606-1953 |
| Practice Telephone | 5633554043 |
| Practice Fax Number | 5633554063 |
| Mailing Telephone | 8003345705 |
| Mailing Fax Number | 8886636322 |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2018-07-30 |
| Authorized Official Name | MR. DONALD GOERTZEN (PRESIDENT) |
| Authorized Official Telephone | 3096762276 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | Y |
| Parent Organization Name | QUAD CITY PROSTHETIC INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952634982 | Quad City Prosthetic Inc | Prosthetic/Orthotic Supplier | 1222 Shooting Park Rd, #104, Peru, IL 61354 | 2009-09-09 |
| 1518198662 | Quad City Prosthetic Inc | Prosthetic/Orthotic Supplier | 1013 W Loras Dr, Suite A, Freeport, IL 61032 | 2009-08-06 |
| 1215925805 | Quad City Prosthetic Inc | Prosthetic/Orthotic Supplier | 4730 44th St, Rock Island, IL 61201 | 2005-10-09 |
| 1194058123 | Quad City Prosthetic Inc | Prosthetic/Orthotic Supplier | 520 Valley View Dr, Ste 500, Moline, IL 61265 | 2009-09-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | QUAD CITY PROSTHETIC INC. | 741 West Main Street, Peoria, IL 61606 |
| Street Address |
2207 E 52ND ST STE 1 |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807 |
| 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 | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447723697 | Clark and Associates, Inc | Prosthetic/Orthotic Supplier | 3385 Dexter Ct Ste 107, Davenport, IA 52807-3494 | 2019-01-09 |
| 1780686030 | Eastern Iowa Orthotics & Prosthetics, LLC | Prosthetic/Orthotic Supplier | 5000 Tremont Ave, Ste 201, Davenport, IA 52807-1007 | 2005-06-01 |
| 1386614899 | American Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 1351 W Central Park Ave, Suite 450, Davenport, IA 52804-1853 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851767735 | Chladek O & P Inc | Prosthetic/Orthotic Supplier | 3007 86th Street, Urbandale, IA 50322-4001 | 2015-08-14 |
| 1245632686 | American Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 215 Duff Ave, Ames, IA 50010-6637 | 2014-09-17 |
| 1073924155 | Eyeprint Prosthetics | Prosthetic/Orthotic Supplier | 2221 Oak Rd Ne, North Liberty, IA 52317-9365 | 2014-05-12 |
| 1336561737 | Patrick Lavern Holt | Prosthetic/Orthotic Supplier | 1454 N Federal Ave, Mason City, IA 50401-1268 | 2014-01-20 |
| 1396177721 | Chi National Home Care | Prosthetic/Orthotic Supplier | 401 6th St, Suite A, Corning, IA 50841-1613 | 2013-08-08 |
| 1699107029 | Chi National Home Care | Prosthetic/Orthotic Supplier | 405 S Fremont St, Shenandoah, IA 51601-1505 | 2013-08-08 |
| 1902159858 | Shoe Mate | Prosthetic/Orthotic Supplier | 1011 88th St, West Des Moines, IA 50266-5857 | 2012-10-16 |
| 1548494743 | Heartland Laboratories Inc | Prosthetic/Orthotic Supplier | 4025 University Ave, Waterloo, IA 50701-5639 | 2009-05-04 |
| 1174792873 | The Iowa Clinic PC | Prosthetic/Orthotic Supplier | 12655 University Ave, Ste 160, Clive, IA 50325 | 2008-02-27 |
| 1912184433 | Clark and Associates, Inc. | Prosthetic/Orthotic Supplier | 634 S Monroe Ave, Mason City, IA 50401-5041 | 2008-01-28 |
| 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.