MRS. CATHERINE A HAGEDORN (NPI# 1770552051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770552051 |
| Entity Type | Individual |
| Full Name | MRS. CATHERINE A HAGEDORN |
| Credential | PA-C |
| Practice Address |
1520 W 53rd St Suite 2 Davenport IA 52806-2459 |
| Practice Telephone | 5634213800 |
| Practice Fax Number | 5634213810 |
| Mailing Telephone | 5634213800 |
| Mailing Fax Number | 5634213810 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2016-12-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 001550 | IA | Allopathic & Osteopathic Physicians |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
001550 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | BLUE SHIELD | 1770552051 | 01 |
| Street Address |
1520 W 53RD ST SUITE 2 |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52806-2459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205831211 | Christopher M Crome | Family Medicine | 1520 W 53rd St, Ste 1, Davenport, IA 52806-2440 | 2005-06-16 |
| 1841712486 | Sara Elizabeth Bytnar | Nurse Practitioner | 1520 W 53rd St, Davenport, IA 52806-2459 | 2017-07-15 |
| 1669576088 | Genesis Health System | Family Medicine | 1520 W 53rd St, Davenport, IA 52806-2459 | 2006-09-08 |
| 1205860400 | Genesis Health System | Clinic/Center | 1520 W 53rd St, Davenport, IA 52806-2459 | 2006-07-11 |
| 1629047980 | Samuel Sandberg | Family Medicine | 1520 W 53rd St, Suite 2, Davenport, IA 52806-2440 | 2006-03-17 |
| 1952307407 | Thomas E Lyons | Family Medicine | 1520 W 53rd St, Ste 1, Davenport, IA 52806-2440 | 2005-06-21 |
| 1508861055 | Paul R Hartmann | Family Medicine | 1520 W 53rd St, Ste 1, Davenport, IA 52806-2440 | 2005-06-20 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. CATHERINE A HAGEDORN.
| 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.