MR. DEVAN LOUIS DEPAUW


Address: 1227 East Rusholme St., Davenport, IA 52803
Phone: 5634211000

MR. DEVAN LOUIS DEPAUW (NPI# 1558869321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558869321
Entity Type Individual
Full Name MR. DEVAN LOUIS DEPAUW
Credential PA-C
Practice Address 1227 East Rusholme St.
Davenport
IA 52803
Mailing Address 5601 Eastern Ave. P2
Davenport
IA 52807
Practice Telephone 5634211000
Mailing Telephone 3099452695
Enumeration Date 2018-01-26
Last Update Date 2018-01-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
090689 IA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1227 EAST RUSHOLME ST.
City DAVENPORT
State IA
Zip Code 52803

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679189971 Amber Rae Rupiper Physician Assistant 518 Locus Street, Davenport, IA 52803 2020-09-22
1215383070 Brittney N Hughes Nurse Practitioner 1228 E Rusholme Street, Suite 3020, Davenport, IA 52803 2016-05-11
1992138747 Sarah Beth Schlickman Nurse Practitioner 1228 E Rusholme St Ste 3020, Davenport, IA 52803 2013-08-15
1154763845 Leslie A Poston Nurse Practitioner 1228 E. Rushome Street, Mob I, Suite 2100, Davenport, IA 52803 2013-07-23
1083878896 Jolene Marie Dague Dentist 1905 N. Main St, Davenport, IA 52803 2008-07-11
1952436370 Joann C Milani Psychologist 1503 Brady Street, Davenport, IL 52803 2007-02-23
1942343579 Lisa Clare Ploehn Pharmacist 129 West Locust Street, Davenport, IA 52803 2007-02-14
1366597957 Cathleen Ann Clark Social Worker 1706 N Brady, Suite 204, Davenport, IA 52803 2007-01-24
1184781940 William Burke Ltd Durable Medical Equipment & Medical Supplies 129 West Locust, Davenport, IA 52803 2007-01-02
1588720122 Kathy Peters Chiropractor 506 East Locust St, Davenport, IA 52803 2006-12-28
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861008443 Justyna Wojtyczka Physician Assistant 518 W Locust St, Davenport, IA 52803-2829 2020-09-19
1962891499 Kristian Delanie Williams Physician Assistant 40124 Highway 27, Suite 104, Davenport, FL 33837-5905 2015-01-21
1457696080 Karyl Hobbs Physician Assistant 2502 Sand Mine Rd, Davenport, FL 33897-3402 2012-12-07
1992094049 Davenport Medical Center LLC Physician Assistant 203 N Broadway, Davenport, OK 74026 2011-03-29
1699913061 Nicole Marie Luszczyk Physician Assistant 2322 E Kimberly Rd, Ste 100n, Davenport, IA 52807-7205 2009-01-23
1790742864 Jeremy J Mcgrath Physician Assistant 3385 Dexter Ct, Ste 101, Davenport, IA 52807-3471 2006-05-01
1477528073 Paulette Ong Physician Assistant 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 2006-02-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306468434 Nichole Marie Steffens Physician Assistant 2371 County Road B32, Fort Atkinson, IA 52144-7414 2020-05-12
1295282325 Courtney Lowy Physician Assistant 3850 Merle Hay Rd Ste 500, Des Moines, IA 50310-1322 2016-09-07
1447641618 West Broadway Clinic, P.C. Physician Assistant 1701 W Broadway, Council Bluffs, IA 51501-3822 2015-02-10
1972858397 Sarah Beth Nace Physician Assistant 2346 Mormon Trek Blvd Ste 1500, Iowa City, IA 52246-4368 2012-07-23
1528313350 Stephanie Elaine Fangman Physician Assistant 709 W Main St Ste 3, Manchester, IA 52057-1526 2012-07-18
1679707947 Integrative Medicine Consultants, Inc. Physician Assistant 507 Main Avenue, Clear Lake, IA 50428 2009-05-14
1992960876 Cass County Memorial Hospital Rhc Physician Assistant 1501 E 10th St Ste 100, Atlantic, IA 50022-1936 2008-07-21
1629265368 Hannah Joy Lokenvitz Physician Assistant 700 2nd St Se Ste 101, Hampton, IA 50441-2655 2007-09-26
1568658532 Angela K Grundmeyer Physician Assistant 1215 Pleasant St Ste 100, Des Moines, IA 50309-1409 2007-09-24
1235251034 Von L Miller Physician Assistant 6000 University Ave Lakeview Medical Park, Suite 124, West Des Moines, IA 50266 2007-04-04
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Competitor

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City DAVENPORT
Zip Code 52803

Improve Information

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Dataset Information

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.

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