GARY E ANDERSON (NPI# 1205831120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205831120 |
| Entity Type | Individual |
| Full Name | GARY E ANDERSON |
| Credential | DO |
| Practice Address |
210 W 53rd St Davenport IA 52806-2251 |
| Mailing Address |
865 Lincoln Rd Ste L10 Bettendorf IA 52722-4159 |
| Practice Telephone | 5633863436 |
| Practice Fax Number | 5633863211 |
| Mailing Telephone | 5633559191 |
| Mailing Fax Number | 5633553419 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01552 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IOWA HEALTH SOLUTIONS | 20100 | 01 | |
| IA | WELLMARK BC/BS | 40197 | 01 |
| IA | 1160432 | 05 | |
| JOHN DEERE HEALTH PLAN | IA0104 | 01 | |
| DMERC | 4796890009 | 01 | |
| HEALTH ALLIANCE | 034792 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548621329 | Gary J Anderson | Non-emergency Medical Transport (VAN) | 120 Odessa Rd, Duson, LA 70529-4437 | 2016-03-08 |
| 1699010983 | Gary B Anderson | Internal Medicine | 1892 Brigadoone Ln, Florence, SC 29505-3235 | 2012-11-28 |
| 1588912489 | Gary Wayne Anderson | Pharmacist | 1041 York St, Aiken, SC 29801-4025 | 2012-08-27 |
| 1538348974 | Gary D Anderson | Pharmacist | 93 Montcalm St, Ticonderoga, NY 12883-1343 | 2007-11-02 |
| 1104970706 | Gary D Anderson | Dentist | 1625 Highway 88, Suite 204, Minden, NV 89423 | 2007-01-22 |
| 1851482152 | Gary C Anderson | Dentist | 2500 Como Avenue - Ms 31100a, Health Partners Como Clinic, St Paul, MN 55108-1460 | 2006-09-28 |
| 1851402614 | Gary Alfred Anderson | Optometrist | 55 Campau Ave Nw, Riverfront Plaza Bldg Suite 10, Grand Rapids, MI 49503-2642 | 2006-08-31 |
| 1972521300 | Gary Ernest Anderson | Chiropractor | 3307 Miller, Bethany, MO 64424 | 2006-07-17 |
| 1447243175 | Gary D. Anderson | Emergency Medicine | 6219 Exchange St, Mc Farland, WI 53558-9241 | 2005-08-29 |
| 1467089656 | Gary Owen Anderson | Social Worker | 777 S Main St Ste 100, Clinton, IN 47842-2493 | 2020-03-26 |
| Street Address |
210 W 53RD ST |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52806-2251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376548453 | Sharon S Conard | Nurse Practitioner | 210 W 53rd St, Davenport, IA 52806-2251 | 2005-06-16 |
| 1174836084 | Heather Danae Mai-roecker | Chiropractor | 210 W 53rd St, Davenport, IA 52806-2251 | 2010-07-20 |
| 1376654616 | Genesis Health System | Family Medicine | 210 W 53rd St, Davenport, IA 52806-2251 | 2006-08-31 |
| 1023053972 | Bryant A. Mutchler | Family Medicine | 210 W 53rd St, Davenport, IA 52806-2251 | 2006-06-17 |
| 1205801115 | Christel Seemann | Family Medicine | 210 W 53rd St, Davenport, IA 52806-2251 | 2006-02-22 |
| 1457357253 | Stephen M Thompson | Family Medicine | 210 W 53rd St, Davenport, IA 52806-2251 | 2005-06-27 |
| 1881690709 | Richard L Syfert | Family Medicine | 210 W 53rd St, Davenport, IA 52806-2251 | 2005-06-24 |
| 1417953563 | Harold W Miller | Family Medicine | 210 W 53rd St, Davenport, IA 52806-2251 | 2005-06-23 |
| 1568468007 | Alexander Locascio | Family Medicine | 210 W 53rd St, Davenport, IA 52806-2251 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543257 | June Swain | Nurse Practitioner | Quad City Family Physician, 3940 Marquette Street, Davenport, IA 52806 | 2019-11-21 |
| 1881055747 | Jace Carter | Chiropractor | 235 West 35th Street Suite 2d, Davenport, IA 52806 | 2016-03-18 |
| 1538468210 | Cody Krech | Dentist | 141 E 46th St, Davenport, IA 52806 | 2011-03-21 |
| 1619287216 | Robert Earl Clark | Occupational Therapist | 6623 N Main St, Davenport, IA 52806 | 2010-10-15 |
| 1689902579 | Nicholas P. Carlson | Nurse Practitioner | 3801 Marguette Street, Suite 200, Davenport, IA 52806 | 2009-12-03 |
| 1295821114 | David Lee Botsko | Dentist | 2334 W. Kimberly Road, Davenport, IA 52806 | 2006-10-05 |
| 1598712903 | Select Specialty Hospital - Quad Cities Inc | Long Term Care Hospital | 1111 West Kimberly Road, Davenport, IA 52806 | 2006-05-30 |
| 1528030350 | Warren Wright | Occupational Therapist | 1008 W 35th St, Davenport, IA 52806 | 2006-02-06 |
| 1144291568 | Gerald Wallace Hess | Chiropractor | 2711 W 63rd St, Ste #1, Davenport, IA 52806 | 2006-02-01 |
| 1487642286 | Virginia Armstrong | Chiropractor | 4811 N Brady St Ste 1a, Davenport, IA 52806 | 2005-10-06 |
| Find all providers in zip 52806 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689287831 | Cynthia Marie Silva | Family Medicine | 142 Harrington Ct, Davenport, FL 33837-8986 | 2020-08-27 |
| 1467013565 | Vibrant Health, P.C. | Family Medicine | 1351 W Central Park Ave Ste 1225, Davenport, IA 52804-1889 | 2019-06-28 |
| 1831667062 | Jacqueline Bogle | Family Medicine | 1334 Oakcrest Ct, Davenport, FL 33837-1707 | 2018-11-06 |
| 1427589944 | Aubrey Riefe | Family Medicine | 4317 E 53rd St, Davenport, IA 52807-3860 | 2017-03-26 |
| 1760748644 | Marygold Lora Fernandez | Family Medicine | 2302 North Blvd W Ste D, Davenport, FL 33837-8920 | 2012-04-05 |
| 1184917981 | Linda Malizia Jager | Family Medicine | 1750 E 53rd St, Davenport, IA 52807-2707 | 2011-05-26 |
| 1881908069 | Andrew Michael Teffeau | Family Medicine | 410 Lionel Way Fl 3, Davenport, FL 33837-7809 | 2010-07-30 |
| 1740509280 | Jose Ascension Armendariz | Family Medicine | 4700 E 56th St Ste 300, Davenport, IA 52807-2904 | 2010-05-24 |
| 1336473198 | Simran Jit | Family Medicine | 3411 Spring St, Davenport, IA 52807-2114 | 2009-09-28 |
| 1184870016 | Maria Nina Concepcion Md Pa | Family Medicine | 2302 North Blvd., Suite D, Davenport, FL 33837 | 2008-08-12 |
| Find all providers in DAVENPORT | ||||
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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.