DR. MICHAEL A PHELPS (NPI# 1073583308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073583308 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL A PHELPS |
| Credential | MD |
| Practice Address |
1228 E Rusholme St Suite 3020 Davenport IA 52803 |
| Practice Telephone | 5638239300 |
| Practice Fax Number | 5638239330 |
| Mailing Telephone | 5638239300 |
| Mailing Fax Number | 5638239330 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2011-02-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 27450 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 2062455 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699060780 | Michael Keith Phelps | Family Medicine | 16083 Sw Upper Boones Ferry Rd, Suite 320, Tigard, OR 97224-7736 | 2011-06-16 |
| 1013075308 | Michael Steven Phelps | Dentist | 4350 Marconi Avenue, Suite 200, Sacramento, CA 95821 | 2006-12-05 |
| 1275519555 | Michael Anthony Phelps | Chiropractor | 690 E Morgan St, Martinsville, IN 46151-1640 | 2005-12-19 |
| 1811533243 | Michael Phelps | Peer Specialist | 125 S Main Cross St, Louisa, KY 41230-1065 | 2019-11-20 |
| 1801454046 | Michael Phelps | Nurse Practitioner | 160 Academy Ave, Greenwood, SC 29646-3808 | 2019-06-03 |
| 1043635329 | Michael Phelps | Case Manager/Care Coordinator | 509 Ne Alberta St, Portland, OR 97211-3976 | 2014-02-24 |
| 1427196591 | Michael Alan Phelps | Anesthesiology | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2007-02-02 |
| 1366407769 | Michael H Phelps | Internal Medicine | 5300 State Road 64, Suite 101, Georgetown, IN 47122-9178 | 2006-04-19 |
| Street Address |
1228 E RUSHOLME ST SUITE 3020 |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902801525 | James H Hahn | Internal Medicine | 1228 E Rusholme St, Suite 112, Davenport, IA 52803-2467 | 2005-06-20 |
| 1508218629 | Molly Ann Stehn | Nurse Practitioner | 1228 E Rusholme St, Suite 3020, Davenport, IA 52803-2453 | 2016-07-13 |
| 1245699438 | Ann Maxwell | Nurse Practitioner | 1228 E Rusholme St, Davenport, IA 52803-2453 | 2016-02-16 |
| 1306046222 | Iqbal M Binoj | Internal Medicine | 1228 E Rusholme St, Suite 112, Davenport, IA 52803-2467 | 2007-07-19 |
| 1235350976 | Julie Ann Cabel | Nurse Practitioner | 1228 E Rusholme St, Mob 1 Suite 112, Davenport, IA 52803-2467 | 2007-05-01 |
| 1639213051 | Debbie P Cecil | Family Medicine | 1228 E Rusholme St, Suite112, Davenport, IA 52803-2453 | 2007-02-18 |
| 1578581534 | Raminder S Ahluwalia | Emergency Medicine | 1228 E Rusholme St, Mob 1 Suite 112, Davenport, IA 52803-2467 | 2006-07-18 |
| 1851316681 | Davenport Surgical Group PC | Surgery | 1228 E Rusholme St, Suite 302, Davenport, IA 52804 | 2006-07-13 |
| 1356390207 | Robert E. Harson | Surgery | 1228 E Rusholme St, Suite 3020, Davenport, IA 52803-2481 | 2006-05-09 |
| 1366407322 | Kenneth John Hartman Jr. | Surgery | 1228 E Rusholme St, Ste 302, Davenport, IA 52803 | 2006-04-20 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538227442 | Carifi Breast Care Pa | Surgery | 171 Webb Drive, Suite #1, Davenport, FL 33837 | 2006-12-04 |
| 1861508111 | Paul David Williams | Surgery | 40124 Highway 27 Ste 207, Davenport, FL 33837-5905 | 2006-08-21 |
| 1770597569 | Perumalswamy Rajaram | Surgery | 40124 Highway 27 Ste 104, Davenport, FL 33837-5905 | 2006-07-28 |
| 1578590014 | Mel Francis Garrovillo | Surgery | 111 Webb Dr Ste 3, Davenport, FL 33837-3944 | 2006-06-28 |
| 1669478087 | Vincent G Carifi | Surgery | Carifi Breast Care, P.a., 171 Webb Drive - Suite #1, Davenport, FL 33837 | 2005-06-21 |
| 1720313364 | Shiva Seetahal | Surgery | 40124 Highway 27, Suite 104, Davenport, FL 33837-5905 | 2009-10-15 |
| 1336346246 | Garrovillo Surgical Care LLC | Surgery | 111 Webb Dr, Suite 3, Davenport, FL 33837-3944 | 2007-07-03 |
| 1588861389 | Andrew J Lightfoot | Surgery | 3319 Spring St, Davenport, IA 52807-2125 | 2007-06-27 |
| 1891991832 | Rajaram P A | Surgery | 40124 Highway 27, Suite 203, Davenport, FL 33837-5905 | 2007-06-26 |
| 1053527853 | Lincoln County Hospital District 3 | Surgery | 100 3rd St Ste 1, Davenport, WA 99122-5008 | 2007-05-16 |
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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.