MRS. AMBER ZOE GORHAM (NPI# 1881718880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881718880 |
Entity Type | Individual |
Full Name | MRS. AMBER ZOE GORHAM |
Credential | PA-C, MPAS |
Practice Address |
1227 E Rusholme St Davenport IA 52803-2459 |
Practice Telephone | 5634212120 |
Mailing Telephone | 5634212120 |
Enumeration Date | 2007-03-17 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 001063 | IA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710429444 | Amber L Gorham | Specialist/Technologist, Other | 520 Mary St Ste 520, Evansville, IN 47710-1682 | 2016-11-11 |
Street Address |
1227 E RUSHOLME ST |
City | DAVENPORT |
State | IA |
Zip Code | 52803-2459 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083690762 | Ilya B Volfson | Anesthesiology | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2005-12-15 |
1912523432 | Abby Mariah Shumate | Nurse Practitioner | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2020-06-20 |
1477173532 | Julie Anne Daniels | Occupational Therapist | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2020-04-19 |
1083253306 | Charles Grant Dennehey | Physician Assistant | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2020-01-03 |
1942850011 | Alyssa Sue Busch | Nurse Practitioner | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2019-09-19 |
1528616901 | Genesis Health System | Psychologist | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2019-08-29 |
1992260202 | Matthew Adam Steinbeck | Pharmacist | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2019-01-31 |
1609394964 | Chelsea Speer | Physician Assistant | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2017-09-06 |
1508387382 | Anesthesia Intensive Care LLC | Anesthesiology | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2017-06-30 |
1417478314 | Michelle Engstrom | Physical Therapist | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2017-06-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
1215383070 | Brittney N Hughes | Nurse Practitioner | 1228 E Rusholme Street, Suite 3020, Davenport, IA 52803 | 2016-05-11 |
1992138747 | Sarah Beth Schlickman | Nurse Practitioner | 1228 E Rusholme St Ste 3020, Davenport, IA 52803 | 2013-08-15 |
1154763845 | Leslie A Poston | Nurse Practitioner | 1228 E. Rushome Street, Mob I, Suite 2100, Davenport, IA 52803 | 2013-07-23 |
1083878896 | Jolene Marie Dague | Dentist | 1905 N. Main St, Davenport, IA 52803 | 2008-07-11 |
1952436370 | Joann C Milani | Psychologist | 1503 Brady Street, Davenport, IL 52803 | 2007-02-23 |
1942343579 | Lisa Clare Ploehn | Pharmacist | 129 West Locust Street, Davenport, IA 52803 | 2007-02-14 |
1366597957 | Cathleen Ann Clark | Social Worker | 1706 N Brady, Suite 204, Davenport, IA 52803 | 2007-01-24 |
1184781940 | William Burke Ltd | Durable Medical Equipment & Medical Supplies | 129 West Locust, Davenport, IA 52803 | 2007-01-02 |
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Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
1598371270 | Samantha Delores Gartner | Physician Assistant | 518 W Locust St # 287, Davenport, IA 52803-2829 | 2020-09-18 |
1598229262 | Katherine E. Asprey | Physician Assistant | 1800 E 54th St Ste B, Davenport, IA 52807-2852 | 2019-01-28 |
1588177182 | Kelsey Alexandra Schaeffer | Physician Assistant | 2302 North Blvd W Ste A, Davenport, FL 33837-8923 | 2017-11-06 |
1467907360 | Melina Norberto | Physician Assistant | 141 Webb Dr Ste 300, Davenport, FL 33837-3951 | 2016-08-20 |
1063815017 | Carissa L Pardekooper | Physician Assistant | 1800 E. 54th Street, Ste B, Davenport, IA 52807-2763 | 2014-10-06 |
1548661457 | Malwina Huzarska | Physician Assistant | 127 Oak Promenade Ct, Davenport, FL 33896-8163 | 2014-09-10 |
1871934851 | Benjamin J Kolner | Physician Assistant | 3385 Dexter Ct Ste 103, Davenport, IA 52807-3471 | 2013-07-08 |
1528303799 | Kajalben Patel | Physician Assistant | 2209 North Blvd W, Davenport, FL 33837-8903 | 2012-11-29 |
1710959622 | Jose Luis Lizardi | Physician Assistant | 306 Hollingshead Loop, Davenport, FL 33896-7829 | 2006-02-03 |
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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.