DR. SHANNON LEE SCHAUER LEVERIDGE (NPI# 1962728972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962728972 |
| Entity Type | Individual |
| Full Name | DR. SHANNON LEE SCHAUER LEVERIDGE |
| Credential | MD |
| Practice Address |
1510 E Rusholme St Davenport IA 52803-2463 |
| Practice Telephone | 5638239280 |
| Mailing Telephone | 5633596633 |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2015-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 41984 | IA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1510 E RUSHOLME ST |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52803-2463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598851842 | Susan K Schafer | Nurse Practitioner | 1510 E Rusholme St, Davenport, IA 52803-2463 | 2006-10-05 |
| 1104277003 | Ashlee Misiag | Nurse Practitioner | 1510 E Rusholme St, Davenport, IA 52803-2463 | 2016-06-22 |
| 1164878542 | Rebecca Wagschal | Midwife | 1510 E Rusholme St, Davenport, IA 52803-2463 | 2016-05-04 |
| 1427418276 | Community Health Care, Inc | Clinic/Center | 1510 E Rusholme St, Davenport, IA 52803-2463 | 2016-03-07 |
| 1164857504 | Tami Kay Sheldon | Nurse Practitioner | 1510 E Rusholme St, Davenport, IA 52803-2463 | 2013-09-04 |
| 1770838773 | Janel Delyn Miner | Advanced Practice Midwife | 1510 E Rusholme St, Davenport, IA 52803-2463 | 2012-07-17 |
| 1861767022 | Annika Kristine Omelia | Social Worker | 1510 E Rusholme St, Davenport, IA 52803-2463 | 2012-03-20 |
| 1760791230 | Christa Jackson | Advanced Practice Midwife | 1510 E Rusholme St, Davenport, IA 52803-2463 | 2010-10-01 |
| 1144545591 | Clare Bevin Harney | Obstetrics & Gynecology | 1510 E Rusholme St, Davenport, IA 52803-2463 | 2010-03-29 |
| 1407908924 | Edgerton Womens Health Center | Nurse Practitioner | 1510 E Rusholme St, Davenport, IA 52803-2463 | 2007-01-17 |
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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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427003011 | Obstetrics and Gynecology Specialists PC | Obstetrics & Gynecology | 5350 Eastern Avenue, Davenport, IA 52807 | 2006-05-23 |
| 1528010535 | Mark Alkass | Obstetrics & Gynecology | 2221 North Blvd W, Davenport, FL 33837-8990 | 2006-05-17 |
| 1457327421 | Lama Tolaymat | Obstetrics & Gynecology | 2310 North Blvd. West, Suite A, Davenport, FL 33837 | 2006-02-28 |
| 1518931153 | Eugene L Kerns | Obstetrics & Gynecology | 2322 E Kimberly Rd, Davenport, IA 52807-7205 | 2006-02-13 |
| 1851397780 | Leroy L Yates | Obstetrics & Gynecology | 3170 E 53rd St, Davenport, IA 52807-3864 | 2005-06-24 |
| 1932105160 | Anita L Pinc | Obstetrics & Gynecology | 5350 Eastern Ave, Davenport, IA 52807-2709 | 2005-06-22 |
| 1255742557 | Wanakee Jacoba Carr | Obstetrics & Gynecology | 500 W River Dr, Davenport, IA 52801 | 2014-05-08 |
| 1265877591 | Jana Van Rybroek | Obstetrics & Gynecology | 5350 Eastern Ave, Davenport, IA 52807-2709 | 2013-04-30 |
| 1366706319 | Diamond Medical Spa and Vein, PC | Obstetrics & Gynecology | 3170 E 53rd St, Davenport, IA 52807-3864 | 2012-06-25 |
| 1144545591 | Clare Bevin Harney | Obstetrics & Gynecology | 1510 E Rusholme St, Davenport, IA 52803-2463 | 2010-03-29 |
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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.