ANDREA ODVARKO (NPI# 1336564038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336564038 |
| Entity Type | Individual |
| Full Name | ANDREA ODVARKO |
| Credential | ARNP, DNP |
| Practice Address |
1801 E 54th St Ste 100 Davenport IA 52807-7209 |
| Practice Telephone | 5633231229 |
| Practice Fax Number | 5633238240 |
| Mailing Telephone | 5633231229 |
| Mailing Fax Number | 5633238240 |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
106690 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1801 E 54TH ST STE 100 |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807-7209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104891704 | Akshay Kantilal Mahadevia | Internal Medicine | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2006-02-17 |
| 1831645308 | Maureen Gulatto | Nurse Practitioner | 1801 E 54th St, Suite 100, Davenport, IA 52807-7209 | 2016-08-25 |
| 1740618735 | Jennifer A Mayer | Nurse Practitioner | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2013-10-29 |
| 1023356672 | J&s Kelly LLC | Durable Medical Equipment & Medical Supplies | 1801 E 54th St, Suite 200, Davenport, IA 52807-7209 | 2013-01-16 |
| 1457600157 | Aeon Group Hst | Clinic/Center | 1801 E 54th St, Suite 200, Davenport, IA 52807-7209 | 2012-09-10 |
| 1649527045 | Emily Cathryn Maiers | Nurse Practitioner | 1801 E 54th St, Suite 100, Davenport, IA 52807-7209 | 2012-08-06 |
| 1770819591 | Anand Kommuri | Internal Medicine | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2009-10-29 |
| 1013982610 | Humphrey Wong | Internal Medicine | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2006-02-17 |
| 1740255348 | Brian Gross | Internal Medicine | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2006-02-17 |
| 1477528073 | Paulette Ong | Physician Assistant | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2006-02-17 |
| 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 | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902317688 | Brittany C Pechous | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2017-10-20 |
| 1063819282 | Tanya Ann Woods | Nurse Practitioner | 1200 Pleasant St, Des Moines, IA 50309 | 2014-12-03 |
| 1699191668 | Saundra A. Small | Nurse Practitioner | 200 Hawkins Dr, Department of Anesthesia, Iowa City, IA 52242-1009 | 2014-03-13 |
| 1366573503 | Carol Marie Schmidt | Nurse Practitioner | 101 E Marion St, Sigourney, IA 52591-1443 | 2007-03-08 |
| 1053371526 | Dana Fowler | Nurse Practitioner | 400 E Polk St, Washington, IA 52353-1237 | 2006-03-27 |
| 1821058306 | Katherine Kavanaugh | Nurse Practitioner | 600 7th St Se, Cedar Rapids, IA 52401-2112 | 2006-03-27 |
Please comment or provide details below to improve the information on ANDREA ODVARKO.
| 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.