MIDWEST BRAIN AND SPINE LLC (NPI# 1972668952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972668952 |
| Entity Type | Organization |
| Organization Name | MIDWEST BRAIN AND SPINE LLC |
| Practice Address |
3385 Dexter Court Suite 110 Davenport IA 52807-3461 |
| Practice Telephone | 5633448330 |
| Practice Fax Number | 5633448339 |
| Mailing Telephone | 5633448330 |
| Mailing Fax Number | 5633448339 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2010-03-15 |
| Authorized Official Name | DR. ANTHONY VITO MAIORIELLO (NEUROSURGEON CEO) |
| Authorized Official Telephone | 5633448330 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 35413 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
3385 DEXTER COURT SUITE 110 |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807-3461 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528374204 | Eugene Collins Mdpc | Neurological Surgery | 1333 West Lombard, Davenport, IA 52804-2194 | 2010-08-19 |
| 1285697003 | Eugene Collins | Neurological Surgery | 1333 West Lombard Street, Davenport, IA 52804-2193 | 2006-04-11 |
| 1760464499 | Quad City Neurosurgical Associates PC | Neurological Surgery | 1351 W Central Park Ave, Ste 4300, Davenport, IA 52804-1853 | 2005-11-17 |
| 1306837075 | Todd Ridenour | Neurological Surgery | 1351 W Central Park Ave, Ste 4300, Davenport, IA 52804-1853 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164049490 | Md West One, PC | Neurological Surgery | 808 E Pierce St, Council Bluffs, IA 51503-4600 | 2020-07-02 |
| 1154621282 | Md West One, PC | Neurological Surgery | 1 Jack Foster Drive, Shenandoah, IA 51601 | 2010-10-22 |
| 1710291505 | David H. Segal Md Eastern Iowa Brain & Spine Surgery Pllc | Neurological Surgery | 600 7th Street Se, Second Floor, Cedar Rapids, IA 52401-2112 | 2010-08-04 |
| 1962572339 | Hosung Chung | Neurological Surgery | 1762 Caras Rd, Waterloo, IA 50701-9793 | 2006-11-09 |
| 1619984903 | David Harvey Segal | Neurological Surgery | 600 7th St Se Fl 2, Cedar Rapids, IA 52401-2112 | 2006-08-01 |
| 1831129634 | Gregory Bedynek | Neurological Surgery | 2710 Saint Francis Dr Ste 110, Waterloo, IA 50702-5664 | 2006-07-04 |
| 1518908896 | Russell I. Buchanan | Neurological Surgery | 2413 W Ridgeway Ave, Waterloo, IA 50701-4306 | 2006-06-09 |
| 1275502726 | Nicholas M Wetjen | Neurological Surgery | 1215 Pleasant St Ste 608, Des Moines, IA 50309-1418 | 2006-03-16 |
| 1750357737 | Jeannette Mae Liu | Neurological Surgery | 1026 A Ave Ne Ste 5000, Cedar Rapids, IA 52402-5036 | 2006-02-28 |
| 1740284421 | Chad Abernathey | Neurological Surgery | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2005-06-09 |
| 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.