MR. MARCIN T MIKA (NPI# 1669734315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669734315 |
| Entity Type | Individual |
| Full Name | MR. MARCIN T MIKA |
| Credential | APRN, MSN, PMHNP-BC |
| Practice Address |
1441 W Central Park Ave Davenport IA 52804-1707 |
| Practice Telephone | 5633831900 |
| Practice Fax Number | 5638844638 |
| Mailing Telephone | 5633831900 |
| Mailing Fax Number | 5638844638 |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2015-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
G138288 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1441 W CENTRAL PARK AVE |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52804-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912991340 | Ghada Hamdan-allen | Psychiatry & Neurology | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2005-08-31 |
| 1528665494 | Samantha Marie Adams | Social Worker | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2020-10-05 |
| 1174176093 | Carol Ann Chukwuka | Nurse Practitioner | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2019-07-19 |
| 1457914657 | Seema Antony | Nurse Practitioner | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2019-04-15 |
| 1255891743 | Stephanie Nuss | Social Worker | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2019-03-21 |
| 1518437789 | Melissa Ann Hummel | Counselor | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2018-11-30 |
| 1649746868 | Lindsey M Mack | Social Worker | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2018-10-15 |
| 1861970717 | Mandy Moody | Social Worker | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2018-08-02 |
| 1285112136 | Kaitlyn Dwyer | Counselor | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2018-08-02 |
| 1891272373 | Ashley Rosas | Nurse Practitioner | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2018-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265948467 | Tess Nelson | Physical Medicine & Rehabilitation | 2535 Maplecrest Rd Suite 23, Bettendorf, IA 52804 | 2017-12-26 |
| 1124494380 | Erica Lauren Hempel Bucy | Social Worker | 1333 W. Lombard St. Ste C, Davenport, IA 52804 | 2015-08-11 |
| 1477859890 | Kristin L West | Registered Nurse | 1441 W. Centrral Park Ave, Vera French Community Mental Health Center, Davenport, IA 52804 | 2011-02-02 |
| 1679877625 | Linda Marie Crownover-inch | Doula | 1420 W 16th Street, #412, Davenport, IA 52804 | 2011-01-05 |
| 1124169032 | Lawrence R Huber | Dentist | 2305 Jersey Ridge Rd, Davenport, IA 52804 | 2007-02-12 |
| 1669532388 | Providence Therapy Services LLC | Physical Therapist | 21037 Holden Drive, Davenport, IA 52804 | 2006-12-11 |
| 1639183171 | Megan Denise Long | Occupational Therapist | 31037 Holden Dr, Davenport, IA 52804 | 2006-07-28 |
| 1811919772 | Theresa L Schlabach | Occupational Therapist | 21037 Holden Dr, Davenport, IA 52804 | 2006-07-23 |
| 1225097843 | William M Nissen | Psychiatry & Neurology | 1441 W Central Park, Davenport, IA 52804 | 2006-03-22 |
| 1245721851 | Mackenzie J Banwart | Physical Therapist | 1700 N Division St Ste 200, Davenport, IA 52804 | 2018-05-21 |
| Find all providers in zip 52804 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528515814 | Amy Melissa Porter | Nurse Practitioner | 218 Holborn Loop, Davenport, FL 33897-4623 | 2016-09-05 |
| 1174176093 | Carol Ann Chukwuka | Nurse Practitioner | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2019-07-19 |
| 1457914657 | Seema Antony | Nurse Practitioner | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2019-04-15 |
| 1891272373 | Ashley Rosas | Nurse Practitioner | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2018-07-26 |
| 1285129668 | Wendy M Lind | Nurse Practitioner | 4455 E 56th St, Davenport, IA 52807-2995 | 2018-06-27 |
| 1972812097 | Michelle L Schnack | Nurse Practitioner | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2010-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463292 | Sarah Evie Schuller | Nurse Practitioner | 215 Nw 18th St Ste 102, Ankeny, IA 50023-4282 | 2020-09-26 |
| 1174139950 | Heartland Healthcare Psychiatry, LLC | Nurse Practitioner | 455 N Orthmckenzie Lane, North Liberty, IA 52317-8901 | 2020-09-17 |
| 1356956916 | Jennifer Cherop Cheruiyot | Nurse Practitioner | 215 Nw 18th St, Ankeny Ia 50023, Ankeny, IA 50023 | 2020-09-10 |
| 1083224844 | Amy Leclere | Nurse Practitioner | 404 Stonehaven Ln Ne, Cedar Rapids, IA 52402-1451 | 2020-08-06 |
| 1154940971 | Raven N Niles | Nurse Practitioner | 732 13th Ave, Coralville, IA 52241-1737 | 2020-04-12 |
| 1104459254 | Jered Flinkman | Nurse Practitioner | 420 Mill St Sw, Mitchellville, IA 50169-7702 | 2020-02-18 |
| 1508401571 | Someplace Psychiatric Services, Plc | Nurse Practitioner | 3909 Briarwood Dr, Cedar Falls, IA 50613-7508 | 2019-11-13 |
| 1053963900 | Nicole Dora Mcclavy | Nurse Practitioner | 610 10th St, Perry, Ia 50220, Perry, IA 50220 | 2019-07-11 |
| 1740841188 | Evizzit of Iowa Psychiatry PC | Nurse Practitioner | 1501 42nd St Ste 120, West Des Moines, IA 50266-1005 | 2019-06-26 |
| 1548736085 | Ncc Psychiatric Services Pllc | Nurse Practitioner | 50 Central Ave Se Ste 102, Le Mars, IA 51031-3562 | 2018-10-23 |
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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.