JOSEPH M PHELAN (NPI# 1306807755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306807755 |
| Entity Type | Individual |
| Full Name | JOSEPH M PHELAN |
| Credential | MD |
| Practice Address |
1970 E 53rd St Davenport IA 52807-2710 |
| Practice Telephone | 5633593949 |
| Mailing Telephone | 5633593949 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
28009 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1072801 | 05 | |
| IA | 6072801 | 05 | |
| BCBS IA RGIC LLC | 04345 | 01 | |
| BCBS IA RGPCSC | 32225 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679501357 | Joseph D Phelan | Nurse Anesthetist, Certified Registered | 275 Sandwich St, Plymouth, MA 02360-2183 | 2006-06-29 |
| Street Address |
1970 E 53RD ST |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790745982 | Radiology Group Imaging Center, L.L.C. | Radiology | 1970 E 53rd St, Davenport, IA 52807-2710 | 2006-03-23 |
| 1922412626 | Trevin M Hayman | Internal Medicine | 1970 E 53rd St, Davenport, IA 52807-2710 | 2014-06-20 |
| 1134415821 | Jason Benjamin Mueller | Radiology | 1970 E 53rd St, Davenport, IA 52807-2710 | 2011-06-22 |
| 1659664985 | Joel Ziegelbein | Internal Medicine | 1970 E 53rd St, Davenport, IA 52807-2710 | 2011-05-19 |
| 1447468715 | Roopa M Goswami | Radiology | 1970 E 53rd St, Davenport, IA 52807-2710 | 2007-05-19 |
| 1396705711 | Dietrich A Gerhardt | Radiology | 1970 E 53rd St, Davenport, IA 52807-2710 | 2006-03-28 |
| 1619937026 | Robert C Danielson | Radiology | 1970 E 53rd St, Davenport, IA 52807-2710 | 2006-03-28 |
| 1447211776 | Raymond Harre | Radiology | 1970 E 53rd St, Davenport, IA 52807-2710 | 2006-03-28 |
| 1285694612 | Robert W Hartung | Radiology | 1970 E 53rd St, Davenport, IA 52807-2710 | 2006-03-28 |
| 1174584528 | Andrew E Berkow | Radiology | 1970 E 53rd St, Davenport, IA 52807-2710 | 2006-03-28 |
| Find all providers in the same location | ||||
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154450351 | Advance Technological Radiology, Pa | Radiology | 2235 North Boulevard West, Davenport, FL 33837-8990 | 2007-03-05 |
| 1801922786 | Ivan G Murray | Radiology | 2235 North Blvd West, Davenport, FL 33837 | 2007-02-26 |
| 1790745982 | Radiology Group Imaging Center, L.L.C. | Radiology | 1970 E 53rd St, Davenport, IA 52807-2710 | 2006-03-23 |
| 1912246455 | Central Florida Imaging Associates | Radiology | 40100 Highway 27, Davenport, FL 33837-5906 | 2013-02-04 |
| 1134415821 | Jason Benjamin Mueller | Radiology | 1970 E 53rd St, Davenport, IA 52807-2710 | 2011-06-22 |
| 1447492103 | Oliver F Hamilton Jr. | Radiology | 2235 North Boulevard West, Davenport, FL 33837 | 2009-03-27 |
| 1942491683 | Radiology Consultants, Pa | Radiology | 40100 Highway 27, Davenport, FL 33837-5906 | 2007-08-07 |
| 1447468715 | Roopa M Goswami | Radiology | 1970 E 53rd St, Davenport, IA 52807-2710 | 2007-05-19 |
| 1982730867 | Gerard J Murphy | Radiology | 2235 North Blvd West, Davenport, FL 33837 | 2007-02-26 |
| 1558497438 | Anthony T Rosa | Radiology | 2235 North Blvd West, Davenport, FL 33837 | 2007-02-26 |
| Find all providers in DAVENPORT | ||||
Please comment or provide details below to improve the information on JOSEPH M PHELAN.
| 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.