IOWA ILLINOIS PAIN CONSULTANTS P.C. (NPI# 1336314574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336314574 |
| Entity Type | Organization |
| Organization Name | IOWA ILLINOIS PAIN CONSULTANTS P.C. |
| Practice Address |
3385 Dexter Ct Ste 300 Davenport IA 52807-3494 |
| Mailing Address |
Po Box 580 Bettendorf IA 52722-0010 |
| Practice Telephone | 5634240512 |
| Practice Fax Number | 5633266236 |
| Mailing Telephone | 5634240512 |
| Mailing Fax Number | 5633266236 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2015-03-02 |
| Authorized Official Name | DR. TIMOTHY JON MILLER (PRESIDENT) |
| Authorized Official Telephone | 5634240512 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
26118 | IA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 4024711 | 05 | |
| IL | 036079595 | 05 | |
| IA | BLUE CROSS BLUE SHIELD | 14316 | 01 |
| Street Address |
3385 DEXTER CT STE 300 |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807-3494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528054566 | Amy T Castro | Physical Therapist | 3385 Dexter Ct, Davenport, IA 52807-3471 | 2005-09-26 |
| 1598203572 | Joseph Victor Piersanti Jr. | Physical Therapist | 3385 Dexter Ct, Suite 301, Davenport, IA 52807-3471 | 2017-02-09 |
| 1265980668 | Valerie Wold | Nurse Practitioner | 3385 Dexter Ct, Suite 301, Davenport, IA 52807-3494 | 2016-09-14 |
| 1649690249 | Sinan Gocmen | Chiropractor | 3385 Dexter Ct, Suite 301, Davenport, IA 52807-3494 | 2014-04-22 |
| 1639593783 | Lauren Wettach | Physical Therapist | 3385 Dexter Ct, Ste. 203, Davenport, IA 52807-3494 | 2014-02-10 |
| 1174967301 | Margaret Ann Rechkemmer | Occupational Therapist | 3385 Dexter Ct, Suite 301, Davenport, IA 52807-3471 | 2013-04-18 |
| 1750654604 | Tara Marie Bries | Physical Therapist | 3385 Dexter Ct, Suite 203, Davenport, IA 52807-3494 | 2012-02-22 |
| 1407131410 | Kevin Swanon, Pt P.C. | Occupational Therapist | 3385 Dexter Ct, Suite 301, Davenport, IA 52807-3494 | 2011-10-21 |
| 1073800561 | Kathryn Lee Rockafellow | Physical Therapist | 3385 Dexter Ct, Ste 301, Davenport, IA 52807-3494 | 2011-07-05 |
| 1043516073 | Elizabeth A Miller | Physical Therapist | 3385 Dexter Ct, Ste 301, Davenport, IA 52807-3494 | 2011-02-09 |
| 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 | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891247904 | Interventions In Pain Management LLC | Clinic/Center | 3509 Spring St Ste 3, Davenport, IA 52807-2124 | 2016-10-25 |
| 1982058624 | Interventions In Pain Management LLC | Clinic/Center | 4550 E 53rd St Ste 100, Davenport, IA 52807-3171 | 2016-04-19 |
| 1568028744 | Kerry Panozzo Md PC | Clinic/Center | 3170 E 53rd St, Davenport, IA 52807-3864 | 2019-05-14 |
| 1922475706 | Iowa Illinois Pain Consultants | Clinic/Center | 3385 Dexter Ct Ste 300, Davenport, IA 52807-3471 | 2015-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558645200 | Michael Fleischman | Clinic/Center | 1938 Kelp Ave, Fairfield, IA 52556-9018 | 2011-09-29 |
| 1295055648 | Pain Be-gone Anesthesia Services Inc | Clinic/Center | 1001 12th St N, Humboldt, IA 50548 | 2010-06-08 |
| 1336642313 | Medical Analgesic Services Inc | Clinic/Center | 915 13th Ave N, Clinton, IA 52732-5067 | 2018-03-15 |
| 1578924320 | Boone County Hospital | Clinic/Center | 1015 Union St, Boone, IA 50036-4821 | 2016-03-08 |
| 1568803492 | Advanced Chiropractic, Inc. | Clinic/Center | 1618 S Duff Ave, Ames, IA 50010-8026 | 2013-07-08 |
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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.