DR. MARK ARTHUR MILLEMAN (NPI# 1538162250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538162250 |
| Entity Type | Individual |
| Full Name | DR. MARK ARTHUR MILLEMAN |
| Credential | M.D. |
| Practice Address |
3319 Spring St Davenport IA 52807-2125 |
| Practice Telephone | 5633591641 |
| Practice Fax Number | 5633594634 |
| Mailing Telephone | 5633591641 |
| Mailing Fax Number | 5633594634 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2013-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | 036113576 | IL | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | 36143 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | NPI# UROLOGICAL ASSC PC | 1346229192 | 01 |
| IA | IA XIX# FOR ILLINOIS PTS | 1464297 | 01 |
| IL | MEDICARE RAILROAD | P00618141 | 01 |
| IA | 0464297 | 05 | |
| IL | NPI# UROLOGICAL ASSC PC | 1346229192 | 01 |
| IA | MEDICARE RAILROAD | P00260899 | 01 |
| Street Address |
3319 SPRING ST |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364471 | Thomas Condon Mckay | Urology | 3319 Spring St, Davenport, IA 52807-2125 | 2005-05-24 |
| 1407348600 | Shelby Lynn Beyer | Physician Assistant | 3319 Spring St, Davenport, IA 52807-2125 | 2018-06-04 |
| 1558801233 | Urological Associates, PC | Durable Medical Equipment & Medical Supplies | 3319 Spring St, Davenport, IA 52807-2125 | 2017-03-01 |
| 1154743540 | Jennifer Kolwey | Nurse Practitioner | 3319 Spring St, Davenport, IA 52807-2125 | 2014-01-20 |
| 1558705566 | Adam D Berneking | Urology | 3319 Spring St, Davenport, IA 52807-2125 | 2013-04-20 |
| 1053613000 | Megan Katherine Varcho | Nurse Practitioner | 3319 Spring St, 202, Davenport, IA 52807-2125 | 2010-11-24 |
| 1588861389 | Andrew J Lightfoot | Surgery | 3319 Spring St, Davenport, IA 52807-2125 | 2007-06-27 |
| 1831308840 | Timothy P Kresowik | Urology | 3319 Spring St, Davenport, IA 52807-2125 | 2007-05-22 |
| 1295888667 | William Morris | Nurse Practitioner | 3319 Spring St, Davenport, IA 52807-2125 | 2007-01-19 |
| 1396803375 | John Allen Bovenmyer | Dermatology | 3319 Spring St, Suite 102, Davenport, IA 52807-2125 | 2006-12-04 |
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| 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 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134138019 | Faiyaaz Mustansir Jhaveri | Urology | 2217 North Boulevard West, Davenport, FL 33837 | 2006-08-07 |
| 1558364471 | Thomas Condon Mckay | Urology | 3319 Spring St, Davenport, IA 52807-2125 | 2005-05-24 |
| 1356344287 | Ghasoub Harb | Urology | 3319 Spring Street, Urological Assc PC, Davenport, IA 52807 | 2005-05-24 |
| 1558705566 | Adam D Berneking | Urology | 3319 Spring St, Davenport, IA 52807-2125 | 2013-04-20 |
| 1659673697 | Vladimir Mouraviev | Urology | 40107 Highway 27, Davenport, FL 33837-5901 | 2010-11-24 |
| 1215262217 | Haines City Hma Physician Management, LLC | Urology | 40124 Highway 27 Ste 102, Davenport, FL 33837-5905 | 2009-10-08 |
| 1942496286 | Kathleen Marie Nenninger | Urology | 3319 Spring Street, Davenport, IA 52807 | 2007-09-20 |
| 1831308840 | Timothy P Kresowik | Urology | 3319 Spring St, Davenport, IA 52807-2125 | 2007-05-22 |
| 1124037007 | Urology Healthcare of Central Florida,p.a | Urology | 2217 North Boulevard West, Davenport, FL 33837 | 2006-08-07 |
| 1437152162 | Paul Leon Rohlf | Urology | 3319 Spring St, Davenport, IA 52807-2125 | 2005-05-26 |
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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.