FAMILY HEALTH PARTNERS OF THE QUAD CITIES, PC (NPI# 1730288556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730288556 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH PARTNERS OF THE QUAD CITIES, PC |
| Practice Address |
3385 Dexter Ct Suite 103 Davenport IA 52807-3471 |
| Practice Telephone | 5634415860 |
| Practice Fax Number | 5634415865 |
| Mailing Telephone | 5634415860 |
| Mailing Fax Number | 5634415865 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JEFFREY S WALCZYK (OWNER/PRESIDENT) |
| Authorized Official Telephone | 5634415860 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 26742 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0256800 | 05 |
| Street Address |
3385 DEXTER CT SUITE 103 |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807-3471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528054566 | Amy T Castro | Physical Therapist | 3385 Dexter Ct, Davenport, IA 52807-3471 | 2005-09-26 |
| 1598203572 | Joseph Victor Piersanti Jr. | Physical Therapist | 3385 Dexter Ct, Suite 301, Davenport, IA 52807-3471 | 2017-02-09 |
| 1265980668 | Valerie Wold | Nurse Practitioner | 3385 Dexter Ct, Suite 301, Davenport, IA 52807-3494 | 2016-09-14 |
| 1649690249 | Sinan Gocmen | Chiropractor | 3385 Dexter Ct, Suite 301, Davenport, IA 52807-3494 | 2014-04-22 |
| 1639593783 | Lauren Wettach | Physical Therapist | 3385 Dexter Ct, Ste. 203, Davenport, IA 52807-3494 | 2014-02-10 |
| 1174967301 | Margaret Ann Rechkemmer | Occupational Therapist | 3385 Dexter Ct, Suite 301, Davenport, IA 52807-3471 | 2013-04-18 |
| 1750654604 | Tara Marie Bries | Physical Therapist | 3385 Dexter Ct, Suite 203, Davenport, IA 52807-3494 | 2012-02-22 |
| 1407131410 | Kevin Swanon, Pt P.C. | Occupational Therapist | 3385 Dexter Ct, Suite 301, Davenport, IA 52807-3494 | 2011-10-21 |
| 1073800561 | Kathryn Lee Rockafellow | Physical Therapist | 3385 Dexter Ct, Ste 301, Davenport, IA 52807-3494 | 2011-07-05 |
| 1043516073 | Elizabeth A Miller | Physical Therapist | 3385 Dexter Ct, Ste 301, Davenport, IA 52807-3494 | 2011-02-09 |
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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 |
| Find all providers in zip 52807 | ||||
| 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 |
|---|---|---|---|---|
| 1689287831 | Cynthia Marie Silva | Family Medicine | 142 Harrington Ct, Davenport, FL 33837-8986 | 2020-08-27 |
| 1467013565 | Vibrant Health, P.C. | Family Medicine | 1351 W Central Park Ave Ste 1225, Davenport, IA 52804-1889 | 2019-06-28 |
| 1831667062 | Jacqueline Bogle | Family Medicine | 1334 Oakcrest Ct, Davenport, FL 33837-1707 | 2018-11-06 |
| 1427589944 | Aubrey Riefe | Family Medicine | 4317 E 53rd St, Davenport, IA 52807-3860 | 2017-03-26 |
| 1760748644 | Marygold Lora Fernandez | Family Medicine | 2302 North Blvd W Ste D, Davenport, FL 33837-8920 | 2012-04-05 |
| 1184917981 | Linda Malizia Jager | Family Medicine | 1750 E 53rd St, Davenport, IA 52807-2707 | 2011-05-26 |
| 1881908069 | Andrew Michael Teffeau | Family Medicine | 410 Lionel Way Fl 3, Davenport, FL 33837-7809 | 2010-07-30 |
| 1740509280 | Jose Ascension Armendariz | Family Medicine | 4700 E 56th St Ste 300, Davenport, IA 52807-2904 | 2010-05-24 |
| 1336473198 | Simran Jit | Family Medicine | 3411 Spring St, Davenport, IA 52807-2114 | 2009-09-28 |
| 1184870016 | Maria Nina Concepcion Md Pa | Family Medicine | 2302 North Blvd., Suite D, Davenport, FL 33837 | 2008-08-12 |
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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.