Dietrich A Gerhardt (NPI# 1396705711, PAC ID# 7517905250) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1396705711 |
| PAC ID by PECOS | 7517905250 |
| Professional Enrollment ID | I20051118000619 |
| Full Name | Dietrich A Gerhardt |
| Organization Legal Name | RADIOLOGY GROUP, P.C., S.C. |
| Address |
1227 E Rushholme St Davenport IA 52803-2459 |
| Phone Number | 5634219729 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9032008537 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160033 | GENESIS MEDICAL CENTER-DAVENPORT |
| 140275 | GENESIS HLTH SYSTEM DBA GENESIS MDL CTR-ILLINI |
| 161313 | GENESIS MEDICAL CENTER-DEWITT |
| 141304 | GENESIS MEDICAL CENTER, ALEDO |
| 140280 | TRINITY - ROCK ISLAND |
| Address | Phone | Organization |
|---|---|---|
| 409 Nw 9th Ave, Aledo, IL 61231-1258 | 3095682530 | RADIOLOGY GROUP, P.C., S.C. |
| 1227 E Rushholme St, Davenport, IA 52803-2459 | 5634219729 | RADIOLOGY GROUP, P.C., S.C. |
| 1970 E 53rd St, Davenport, IA 52807-2710 | 5634219729 | RADIOLOGY GROUP, P.C., S.C. |
| 801 Illini Dr, Silvis, IL 61282-1804 | 3092814000 | RADIOLOGY GROUP, P.C., S.C. |
| Organization Legal Name | RADIOLOGY GROUP, P.C., S.C. |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shihong Li | Diagnostic Radiology | Radiology Group, P.C., S.c. | 1227 E Rushholme St, Davenport, IA 52803-2459 |
| Andrew Bryce Crush | Diagnostic Radiology | Radiology Group, P.C., S.c. | 409 Nw 9th Ave, Aledo, IL 61231-1258 |
| John W Rogers | Diagnostic Radiology | Radiology Group, P.C., S.c. | 1227 E Rushholme St, Davenport, IA 52803-2459 |
| Jason B Mueller | Diagnostic Radiology | Radiology Group, P.C., S.c. | 1227 E Rushholme St, Davenport, IA 52803-2459 |
| Christine M Walsh | Diagnostic Radiology | Radiology Group, P.C., S.c. | 1227 E Rushholme St, Davenport, IA 52803-2459 |
| Joseph M Phelan | Diagnostic Radiology | Radiology Group, P.C., S.c. | 1227 E Rushholme St, Davenport, IA 52803-2459 |
| Matthew A Ketelaar | Diagnostic Radiology | Radiology Group, P.C., S.c. | 1227 E Rushholme St, Davenport, IA 52803-2459 |
| Jeffrey C Goree | Diagnostic Radiology | Radiology Group, P.C., S.c. | 409 Nw 9th Ave, Aledo, IL 61231-1258 |
| Roopa M Goswami | Diagnostic Radiology | Radiology Group, P.C., S.c. | 1227 E Rushholme St, Davenport, IA 52803-2459 |
| Robert C Danielson | Diagnostic Radiology | Radiology Group, P.C., S.c. | 409 Nw 9th Ave, Aledo, IL 61231-1258 |
| Street Address |
1227 E RUSHHOLME ST |
| City | DAVENPORT |
| State | IA |
| Zip | 52803-2459 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shihong Li | Diagnostic Radiology | Radiology Group, P.C., S.c. | 1227 E Rushholme St, Davenport, IA 52803-2459 |
| John W Rogers | Diagnostic Radiology | Radiology Group, P.C., S.c. | 1227 E Rushholme St, Davenport, IA 52803-2459 |
| Jason B Mueller | Diagnostic Radiology | Radiology Group, P.C., S.c. | 1227 E Rushholme St, Davenport, IA 52803-2459 |
| Christine M Walsh | Diagnostic Radiology | Radiology Group, P.C., S.c. | 1227 E Rushholme St, Davenport, IA 52803-2459 |
| Joseph M Phelan | Diagnostic Radiology | Radiology Group, P.C., S.c. | 1227 E Rushholme St, Davenport, IA 52803-2459 |
| Matthew A Ketelaar | Diagnostic Radiology | Radiology Group, P.C., S.c. | 1227 E Rushholme St, Davenport, IA 52803-2459 |
| Roopa M Goswami | Diagnostic Radiology | Radiology Group, P.C., S.c. | 1227 E Rushholme St, Davenport, IA 52803-2459 |
| Jennifer C Steines Wagebmester | Obstetrics/gynecology | Obstetrics and Gynecology Specialists PC | 1227 E Rushholme St, Davenport, IA 52803-2459 |
| Briana R Barclay | Obstetrics/gynecology | Obstetrics and Gynecology Specialists PC | 1227 E Rushholme St, Davenport, IA 52803-2459 |
| Joel D Ziegelbein | Diagnostic Radiology | Radiology Group, P.C., S.c. | 1227 E Rushholme St, Davenport, IA 52803-2459 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Louis G Kerr | Chiropractic | 514 E George Washington Blvd, Davenport, IA 52803-1232 | |
| Gregg D Corrigan | Podiatry | 2839 Brady St, Davenport, IA 52803-1519 | |
| Penny K Kain | Clinical Social Worker | 2800 Eastern Ave Bldg G, Lifeskills Connection Inc, Davenport, IA 52803-2012 | |
| Sieg Hoppe | Psychologist, Clinical | Family Resources Inc | 2800 Eastern Ave, Davenport, IA 52803-2012 |
| Tammi White | Clinical Social Worker | Family Resources Inc | 2800 Eastern Ave, Davenport, IA 52803-2012 |
| Tiffany F Hunter | Clinical Social Worker | Family Resources Inc | 2800 Eastern Ave, Davenport, IA 52803-2012 |
| Lynn Ann Meincke-wohlers | Clinical Social Worker | Family Resources Inc | 2800 Eastern Ave, Davenport, IA 52803-2012 |
| Kelly A Bitel | Clinical Social Worker | Family Resources Inc | 2800 Eastern Ave, Davenport, IA 52803-2012 |
| Michael D Aldrich | Chiropractic | 2304 Jersey Ridge Rd, Suite 4, Davenport, IA 52803-2378 | |
| Siv Brit Saetre | Ophthalmology | Davenport Eye Group PC | 1230 E Rusholme St, Suite 203, Davenport, IA 52803-2400 |
| Find all physicians in zip 52803 | |||
| City | DAVENPORT |
| Zip Code | 52803 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | DAVENPORT + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Dietrich A Gerhardt.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.