DAWN M BODE (NPI# 1619972999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619972999 |
| Entity Type | Individual |
| Full Name | DAWN M BODE |
| Other Name | DAWN M EVERHART |
| Credential | MD |
| Practice Address |
3900 28th Avenue Dr Suite 200 Moline IL 61265-5536 |
| Mailing Address |
865 Lincoln Rd Ste L10 Bettendorf IA 52722-4159 |
| Practice Telephone | 3092816000 |
| Practice Fax Number | 3092816009 |
| Mailing Telephone | 5633559191 |
| Mailing Fax Number | 5633553419 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2015-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036099085 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTH ALLIANCE | 048510 | 01 | |
| JOHN DEERE HEALTH PLAN | IL01E8 | 01 | |
| IL | 036099085 | 05 | |
| IA | WELLMARK BC/BS | 91332 | 01 |
| IOWA HEALTH SOLUTIONS | 20206 | 01 | |
| DMERC | 4796890019 | 01 |
| Street Address |
3900 28TH AVENUE DR SUITE 200 |
| City | MOLINE |
| State | IL |
| Zip Code | 61265-5536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942435292 | Erinn Rae Ayres | Internal Medicine | 3900 28th Avenue Dr, Moline, IL 61265-5536 | 2009-05-15 |
| 1053585513 | Aric Jay Eckhardt, M.d., S.c. | Plastic Surgery | 3900 28th Avenue Dr, Suite 105, Moline, IL 61265-5536 | 2008-04-16 |
| 1841295300 | Colleen A Hensel | Nurse Practitioner | 3900 28th Avenue Dr, Suite 200, Moline, IL 61265-5536 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| Find all providers in zip 61265 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154741825 | Nandita Alla | Family Medicine | 600 John Deere Rd Ste 401, Moline, IL 61265-6812 | 2014-04-22 |
| 1922329507 | Nicole M Chickris-bollaert | Family Medicine | 5401 44th Avenue Dr Ste 101, Moline, IL 61265-8126 | 2010-06-17 |
| 1225132640 | Genesis Health System | Family Medicine | 1410 7th St, Moline, IL 61265-2916 | 2006-09-08 |
| 1235105826 | Miramar S Prasad | Family Medicine | 5401 44th Avenue Drive, Suite 100, Moline, IL 51265-6401 | 2006-02-24 |
| 1841262367 | Patricia Dunbar | Family Medicine | 555 Valley View Dr, Concentra, Moline, IL 61265-6138 | 2006-02-07 |
| 1912979147 | James Mason Bain | Family Medicine | 106 19th Ave, Suite 103, Moline, IL 61265-3700 | 2006-02-02 |
| 1285613778 | Eric A Alfon | Family Medicine | 4322 7th St, Moline, IL 61265-6867 | 2006-01-12 |
| 1659376473 | Bernie E. Elliott | Family Medicine | 1300 River Dr, Suite 200, Moline, IL 61265-1356 | 2005-06-17 |
| 1700880374 | Bruce C Steffens | Family Medicine | 7111 36th Avenue A Ct, Moline, IL 61265-8043 | 2005-06-10 |
| 1003470865 | Tracy L Bier | Family Medicine | 106 19th Ave, Moline, IL 61265-3700 | 2019-04-26 |
| Find all providers in MOLINE | ||||
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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.