ORA ORTHOPEDICS PC (NPI# 1538615182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538615182 |
| Entity Type | Organization |
| Organization Name | ORA ORTHOPEDICS PC |
| Practice Address |
6101 Northwest Blvd Davenport IA 52806 |
| Mailing Address |
2300 53rd Ave Ste 100 Bettendorf IA 52722-7565 |
| Practice Telephone | 5633220971 |
| Practice Fax Number | 5633240615 |
| Mailing Telephone | 5633220971 |
| Mailing Fax Number | 5633240615 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-06 |
| Authorized Official Name | KENNETH BROCKMAN (CEO) |
| Authorized Official Telephone | 5633220971 |
| Is Organization Subpart | Y |
| Parent Organization Name | ORA ORTHOPEDICS PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians | ||
| N | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE ID | 209395 | 01 |
| IA | MEDICARE ID | 57821 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770005001 | Ora Orthopedics PC | Registered Nurse | 915 13th Ave N, Clinton, IA 52732-5067 | 2017-07-07 |
| 1306908728 | Ora Orthopedics PC | Durable Medical Equipment & Medical Supplies | 2300 53rd Ave, Suite 100, Bettendorf, IA 52722-7547 | 2006-12-14 |
| 1114998416 | Ora Orthopedics PC | Physician Assistant | 855 Illini Dr, Suite 204, Silvis, IL 61282-2904 | 2006-01-27 |
| 1023089323 | Ora Orthopedics PC | Registered Nurse | 600 N College Ave, Suite 110, Geneseo, IL 61254-1092 | 2006-01-27 |
| 1962481861 | Ora Orthopedics PC | Registered Nurse | 520 Valley View Dr, Moline, IL 61265-6194 | 2006-01-10 |
| Street Address |
6101 NORTHWEST BLVD |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205293214 | Meghan E Buchanan | Physical Therapist | 6101 Northwest Blvd, Davenport, IA 52806-1861 | 2016-01-21 |
| 1700485505 | Tyler Beauchamp | Physical Therapy Assistant | 6101 Northwest Blvd, Davenport, IA 52806-1861 | 2020-10-22 |
| 1871132274 | Jillian Cappaert | Physical Therapist | 6101 Northwest Blvd, Davenport, IA 52806-1861 | 2020-01-02 |
| 1255897989 | Andrea Wehrle | Physician Assistant | 6101 Northwest Blvd, Davenport, IA 52806-1861 | 2019-02-19 |
| 1790259786 | Morgan Pavlich | Physical Therapist | 6101 Northwest Blvd, Davenport, IA 52806-1861 | 2019-01-14 |
| 1275017212 | Kaitlyn Sue Rosenstiel | Physical Therapist | 6101 Northwest Blvd, Davenport, IA 52806-1861 | 2018-09-15 |
| 1396223467 | Taylor Mericle | Physical Therapist | 6101 Northwest Blvd, Davenport, IA 52806-1861 | 2018-08-01 |
| 1831607019 | Joel Ingram | Physical Therapist | 6101 Northwest Blvd, Davenport, IA 52806-1861 | 2018-01-22 |
| 1831608850 | Anthony Burke | Specialist/Technologist | 6101 Northwest Blvd, Davenport, IA 52806-1861 | 2017-09-21 |
| 1235657198 | Julie Ann Wunder | Specialist/Technologist | 6101 Northwest Blvd, Davenport, IA 52806-1861 | 2017-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543257 | June Swain | Nurse Practitioner | Quad City Family Physician, 3940 Marquette Street, Davenport, IA 52806 | 2019-11-21 |
| 1881055747 | Jace Carter | Chiropractor | 235 West 35th Street Suite 2d, Davenport, IA 52806 | 2016-03-18 |
| 1538468210 | Cody Krech | Dentist | 141 E 46th St, Davenport, IA 52806 | 2011-03-21 |
| 1619287216 | Robert Earl Clark | Occupational Therapist | 6623 N Main St, Davenport, IA 52806 | 2010-10-15 |
| 1689902579 | Nicholas P. Carlson | Nurse Practitioner | 3801 Marguette Street, Suite 200, Davenport, IA 52806 | 2009-12-03 |
| 1295821114 | David Lee Botsko | Dentist | 2334 W. Kimberly Road, Davenport, IA 52806 | 2006-10-05 |
| 1598712903 | Select Specialty Hospital - Quad Cities Inc | Long Term Care Hospital | 1111 West Kimberly Road, Davenport, IA 52806 | 2006-05-30 |
| 1528030350 | Warren Wright | Occupational Therapist | 1008 W 35th St, Davenport, IA 52806 | 2006-02-06 |
| 1144291568 | Gerald Wallace Hess | Chiropractor | 2711 W 63rd St, Ste #1, Davenport, IA 52806 | 2006-02-01 |
| 1487642286 | Virginia Armstrong | Chiropractor | 4811 N Brady St Ste 1a, Davenport, IA 52806 | 2005-10-06 |
| Find all providers in zip 52806 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770874034 | Megan Crosmer | Orthopaedic Surgery | 3385 Dexter Ct Ste 300, Davenport, IA 52807-3471 | 2011-04-21 |
| 1962610899 | Abhijit Manaswi | Orthopaedic Surgery | 2231 North Blvd W, Davenport, FL 33837-8990 | 2007-05-21 |
| 1427010651 | Anthony D'angelo Jr. | Orthopaedic Surgery | 3906 Lillie Ave, Suite 7 + 8, Davenport, IA 52806-4400 | 2006-04-04 |
| 1740256759 | James N Dunlap | Orthopaedic Surgery | 10 Nicholls St, Davenport, WA 99122-9729 | 2006-02-28 |
| 1669442810 | Paul A. Dowdy | Orthopaedic Surgery | 105 Park Place Blvd, Suite A, Davenport, FL 33837-6858 | 2006-01-23 |
| 1932103983 | Todd Douglas Prochnow | Orthopaedic Surgery | 40124 Highway 27 Ste 101, Davenport, FL 33837-5905 | 2005-06-08 |
| 1467934166 | Manaswi's Orthopedic and Joint Replacement Institute Pllc | Orthopaedic Surgery | 2231 North Blvd W, Davenport, FL 33837-8990 | 2018-08-30 |
| 1831521756 | Orthopedic Center for Sports Medicine | Orthopaedic Surgery | 105 Park Place Blvd, Suite A, Davenport, FL 33837-6858 | 2013-08-01 |
| 1043512072 | Richard L Kreiter Md PC | Orthopaedic Surgery | 1820 W 3rd St, Davenport, IA 52802-1812 | 2010-11-23 |
| 1548573488 | Midflorida Orthopaedic Associates, Pllc | Orthopaedic Surgery | 42719 Highway 27, Ste 103, Davenport, FL 33837-6821 | 2010-07-21 |
| 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.