DIAMOND MEDICAL SPA AND VEIN, PC (NPI# 1366706319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366706319 |
| Entity Type | Organization |
| Organization Name | DIAMOND MEDICAL SPA AND VEIN, PC |
| Practice Address |
3170 E 53rd St Davenport IA 52807-3864 |
| Practice Telephone | 5635055372 |
| Mailing Telephone | 5635055372 |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |
| Authorized Official Name | LEROY L. YATES (OWNER) |
| Authorized Official Telephone | 5635055372 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 036-076186 | IL | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | 27540 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
3170 E 53RD ST |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807-3864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851397780 | Leroy L Yates | Obstetrics & Gynecology | 3170 E 53rd St, Davenport, IA 52807-3864 | 2005-06-24 |
| 1568028744 | Kerry Panozzo Md PC | Clinic/Center | 3170 E 53rd St, Davenport, IA 52807-3864 | 2019-05-14 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427003011 | Obstetrics and Gynecology Specialists PC | Obstetrics & Gynecology | 5350 Eastern Avenue, Davenport, IA 52807 | 2006-05-23 |
| 1528010535 | Mark Alkass | Obstetrics & Gynecology | 2221 North Blvd W, Davenport, FL 33837-8990 | 2006-05-17 |
| 1457327421 | Lama Tolaymat | Obstetrics & Gynecology | 2310 North Blvd. West, Suite A, Davenport, FL 33837 | 2006-02-28 |
| 1518931153 | Eugene L Kerns | Obstetrics & Gynecology | 2322 E Kimberly Rd, Davenport, IA 52807-7205 | 2006-02-13 |
| 1851397780 | Leroy L Yates | Obstetrics & Gynecology | 3170 E 53rd St, Davenport, IA 52807-3864 | 2005-06-24 |
| 1932105160 | Anita L Pinc | Obstetrics & Gynecology | 5350 Eastern Ave, Davenport, IA 52807-2709 | 2005-06-22 |
| 1255742557 | Wanakee Jacoba Carr | Obstetrics & Gynecology | 500 W River Dr, Davenport, IA 52801 | 2014-05-08 |
| 1265877591 | Jana Van Rybroek | Obstetrics & Gynecology | 5350 Eastern Ave, Davenport, IA 52807-2709 | 2013-04-30 |
| 1962728972 | Shannon Lee Schauer Leveridge | Obstetrics & Gynecology | 1510 E Rusholme St, Davenport, IA 52803-2463 | 2010-04-15 |
| 1144545591 | Clare Bevin Harney | Obstetrics & Gynecology | 1510 E Rusholme St, Davenport, IA 52803-2463 | 2010-03-29 |
| 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.