JENNA SARANTAKOS (NPI# 1790309508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790309508 |
Entity Type | Individual |
Full Name | JENNA SARANTAKOS |
Credential | DO |
Practice Address |
1345 W Central Park Ave Davenport IA 52804-1844 |
Mailing Address |
5001 Sheridan St Apt E114 Davenport IA 52806 UM |
Practice Telephone | 5634214400 |
Practice Fax Number | 5634214445 |
Enumeration Date | 2020-06-08 |
Last Update Date | 2020-07-31 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | R-11880 | IA | Allopathic & Osteopathic Physicians |
Street Address |
1345 W CENTRAL PARK AVE |
City | DAVENPORT |
State | IA |
Zip Code | 52804-1844 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396740361 | Andrew A Andresen | Family Medicine | 1345 W Central Park Ave, Davenport, IA 52804-1844 | 2005-06-16 |
1710501549 | Kubat Rahatbeck | Family Medicine | 1345 W Central Park Ave, Davenport, IA 52804-1844 | 2020-06-08 |
1629692553 | Ronald Joseph White | Family Medicine | 1345 W Central Park Ave, Davenport, IA 52804-1844 | 2020-06-06 |
1578187514 | Emily Ann Gudenkauf | Family Medicine | 1345 W Central Park Ave, Davenport, IA 52804-1844 | 2020-06-05 |
1457974347 | Kyle Edward Carver | Family Medicine | 1345 W Central Park Ave, Davenport, IA 52804-1844 | 2020-05-26 |
1184244584 | Mary Ann Defrance | Family Medicine | 1345 W Central Park Ave, Davenport, IA 52804-1844 | 2020-04-26 |
1962061242 | Avigdor Gregory Asner | Family Medicine | 1345 W Central Park Ave, Davenport, IA 52804-1844 | 2019-06-10 |
1205495736 | Alison Fraehlich | Family Medicine | 1345 W Central Park Ave, Davenport, IA 52804-1844 | 2019-06-09 |
1649839465 | Swarna Latha Masala | Family Medicine | 1345 W Central Park Ave, Davenport, IA 52804-1844 | 2019-06-06 |
1154989291 | Peter Kim | Family Medicine | 1345 W Central Park Ave, Davenport, IA 52804-1844 | 2019-06-04 |
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 | 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 |
Find all providers in DAVENPORT |
Please comment or provide details below to improve the information on JENNA SARANTAKOS.
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.