PACKY A HUETTMAN JR.


Address: 3200 West Kimberly Road, Suite 200, Davenport, IA 52806
Phone: 5633559191

PACKY A HUETTMAN JR. (NPI# 1831194307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831194307
Entity Type Individual
Full Name PACKY A HUETTMAN JR.
Credential DO
Practice Address 3200 West Kimberly Road
Suite 200
Davenport
IA 52806
Practice Telephone 5633559191
Practice Fax Number 5633553419
Mailing Telephone 5633559191
Mailing Fax Number 5633553419
Enumeration Date 2005-06-20
Last Update Date 2019-01-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 03132 IA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IA 2167544 05
DMERC 4796890008 01
WELLMARK BC/BS 30409 01
HEALTH ALLIANCE 066152 01
JOHN DEERE HEALTH PLAN IA01D2 01
IOWA HEALTH SOLUTIONS 67701 01

Office Location

Street Address 3200 WEST KIMBERLY ROAD
SUITE 200
City DAVENPORT
State IA
Zip Code 52806

Providers in the same zip code

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 Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City DAVENPORT
Zip Code 52806

Improve Information

Please comment or provide details below to improve the information on PACKY A HUETTMAN JR..

Dataset Information

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.

Trending Searches