| Cogent Healthcare Of Iowa, Pc | |
|
1227 E Rusholme St Davenport IA 52803-2459 | |
| (563) 421-4120 | |
| Not Available |
| Full Name | Cogent Healthcare Of Iowa, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1227 E Rusholme St, Davenport, Iowa |
| Authorized Official Name and Position | Raymond D. Mefford (SECRETARY) |
| Authorized Official Contact | 6153775595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cogent Healthcare Of Iowa, Pc 5410 Maryland Way Suite 300 Brentwood TN 37027-5064 Ph: (615) 377-5670 | Cogent Healthcare Of Iowa, Pc 1227 E Rusholme St Davenport IA 52803-2459 Ph: (563) 421-4120 |
| NPI Number | 1982654497 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 12/01/2008 |
| Medicare PECOS PAC ID | 3779517941 |
|---|---|
| Medicare Enrollment ID | O20050927000304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982654497 | NPI | - | NPPES |
| DE3242 | Other | IA | RAILROAD MEDICARE |
| 39982 | Other | IA | BCBS IA |
| 03113 | Other | IA | BCBS |
| 0760272 | Medicaid | IA | |
| 0764134 | Medicaid | IA | |
| 0495002 | Medicaid | IA | |
| 0749390 | Medicaid | IA | |
| 0464156 | Medicaid | IA | |
| 0464487 | Medicaid | IA |
| Provider Name | Robert D Conner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447363700 PECOS PAC ID: 2769472224 Enrollment ID: I20040517000130 |
| Provider Name | Maher Saegh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457322216 PECOS PAC ID: 3577533884 Enrollment ID: I20040726001208 |
| Provider Name | Michael P Oconner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396724167 PECOS PAC ID: 2769451830 Enrollment ID: I20040927000722 |
| Provider Name | Sarojini Kamaraju Ratnakar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679524672 PECOS PAC ID: 2466410279 Enrollment ID: I20041227000733 |
| Provider Name | Daniel Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063437812 PECOS PAC ID: 7012953623 Enrollment ID: I20050706000171 |
| Provider Name | Charles J Pruchno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194762849 PECOS PAC ID: 5193745800 Enrollment ID: I20051128000387 |
| Provider Name | Gordon H Baustian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558349589 PECOS PAC ID: 9830102664 Enrollment ID: I20060724000046 |
| Provider Name | Maria T Doce |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457338972 PECOS PAC ID: 6002985462 Enrollment ID: I20080527000546 |
| Provider Name | Viktor Hanak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114905999 PECOS PAC ID: 4981684776 Enrollment ID: I20080726000100 |
| Provider Name | Aimee F Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720279086 PECOS PAC ID: 3870669328 Enrollment ID: I20080905000636 |
| Provider Name | Holly Melahoures |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295848604 PECOS PAC ID: 7315014263 Enrollment ID: I20080918000668 |
| Provider Name | Joseph S Russo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891791786 PECOS PAC ID: 2365426376 Enrollment ID: I20080920000005 |
| Provider Name | Srikrishna Chundru |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932162815 PECOS PAC ID: 8527064120 Enrollment ID: I20090414000318 |
| Provider Name | Smitha Kanak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326279704 PECOS PAC ID: 3274688940 Enrollment ID: I20090901000438 |
| Provider Name | Kathleen C Bauler Holst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801920459 PECOS PAC ID: 9234278326 Enrollment ID: I20091203000027 |
| Provider Name | Debbie A Cihak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417908906 PECOS PAC ID: 8123153756 Enrollment ID: I20100320000219 |
| Provider Name | Luong M Banh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457560609 PECOS PAC ID: 1557416179 Enrollment ID: I20101103001005 |
| Provider Name | Peter Gierke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699862698 PECOS PAC ID: 7416072491 Enrollment ID: I20101122001162 |
| Provider Name | Sarah M Schloss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669773990 PECOS PAC ID: 2961698352 Enrollment ID: I20101124000696 |
| Provider Name | Stephanie L Eason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952552655 PECOS PAC ID: 0547457673 Enrollment ID: I20101215000137 |
| Provider Name | Shazia Abbas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205086998 PECOS PAC ID: 3779751086 Enrollment ID: I20110712000380 |
| Provider Name | Sumathy N Iyengar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013173723 PECOS PAC ID: 4981873569 Enrollment ID: I20110817000030 |
| Provider Name | Wei Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275623720 PECOS PAC ID: 7214030683 Enrollment ID: I20110914000301 |
| Provider Name | Mitil Alam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811158512 PECOS PAC ID: 7618148511 Enrollment ID: I20110927000026 |
| Provider Name | Christopher H Rajkumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275813651 PECOS PAC ID: 8426220609 Enrollment ID: I20111012000322 |
| Provider Name | Jacquelyn E Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639457534 PECOS PAC ID: 1052583259 Enrollment ID: I20111012000589 |
| Provider Name | Abdul Haseeb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528298973 PECOS PAC ID: 4284899022 Enrollment ID: I20120629000331 |
| Provider Name | Benjamin J Howe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134359110 PECOS PAC ID: 2264689710 Enrollment ID: I20120906000065 |
| Provider Name | Dongmei Zhao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134362171 PECOS PAC ID: 2961650825 Enrollment ID: I20120918000627 |
| Provider Name | Sandro S Younadam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902078439 PECOS PAC ID: 4284805375 Enrollment ID: I20121012000194 |
| Provider Name | Shellie M Obrien-perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568716637 PECOS PAC ID: 7911151113 Enrollment ID: I20130215000158 |
| Provider Name | Suren Ravuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104063536 PECOS PAC ID: 2860647682 Enrollment ID: I20130228000382 |
| Provider Name | Muhammad Abdullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154614832 PECOS PAC ID: 9537302021 Enrollment ID: I20130903000176 |
| Provider Name | Patrick H Tracy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164576245 PECOS PAC ID: 2365623667 Enrollment ID: I20130923000674 |
| Provider Name | Matthew Woodham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760621791 PECOS PAC ID: 3274704077 Enrollment ID: I20131014001770 |
| Provider Name | Stephanie M Crice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932433158 PECOS PAC ID: 1951539493 Enrollment ID: I20140108001425 |
| Provider Name | Mzingaye Moyo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093027245 PECOS PAC ID: 2062641467 Enrollment ID: I20140205001424 |
| Provider Name | Ali Y Hamidi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518254663 PECOS PAC ID: 8921237181 Enrollment ID: I20140210001334 |
| Provider Name | Mohammed T Zalabani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427345966 PECOS PAC ID: 7618106659 Enrollment ID: I20140214001083 |
| Provider Name | Sasidhar Somuri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285954206 PECOS PAC ID: 4981898400 Enrollment ID: I20140220000742 |
| Provider Name | Brianna D Jewell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891059606 PECOS PAC ID: 8022247311 Enrollment ID: I20140221001139 |
| Provider Name | Emad F Beshai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528069598 PECOS PAC ID: 3072614833 Enrollment ID: I20140328001211 |
| Provider Name | Daniel Wb Brody |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174753313 PECOS PAC ID: 3678702784 Enrollment ID: I20140609002171 |
| Provider Name | Julio Chirinos Lazarte |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285940338 PECOS PAC ID: 8224253430 Enrollment ID: I20140702000492 |
| Provider Name | Catalin Perju |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578994984 PECOS PAC ID: 1658598552 Enrollment ID: I20140818001505 |
| Provider Name | Mohsin U Qazi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437461084 PECOS PAC ID: 6507091469 Enrollment ID: I20140918000937 |
| Provider Name | Owais Iqbal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184911695 PECOS PAC ID: 7810136769 Enrollment ID: I20140926001023 |
| Provider Name | Robert Koller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043659550 PECOS PAC ID: 4082843545 Enrollment ID: I20141008000957 |
| Provider Name | Kerline Ductan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073826715 PECOS PAC ID: 0749416337 Enrollment ID: I20141022000200 |
| Provider Name | Suprotim Samaddar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689961369 PECOS PAC ID: 3678795358 Enrollment ID: I20141113000438 |
| Provider Name | Samir V Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699090860 PECOS PAC ID: 2163657818 Enrollment ID: I20141209000260 |
| Provider Name | Jessica Price |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710247507 PECOS PAC ID: 0840513578 Enrollment ID: I20150102001264 |
| Provider Name | Christopher C Brodkin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083651004 PECOS PAC ID: 9739192089 Enrollment ID: I20150508001458 |
| Provider Name | Robert J Carroll |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013919380 PECOS PAC ID: 5496701344 Enrollment ID: I20150604002311 |
| Provider Name | Syed N Ghani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205877396 PECOS PAC ID: 4880607142 Enrollment ID: I20150624001344 |
| Provider Name | Mark I Hong |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982048286 PECOS PAC ID: 7113239096 Enrollment ID: I20150707000676 |
| Provider Name | Prerak Navinchandra Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992060230 PECOS PAC ID: 8123254422 Enrollment ID: I20150709002551 |
| Provider Name | Cindy S Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457774697 PECOS PAC ID: 5890008155 Enrollment ID: I20150716001038 |
| Provider Name | Katharine Marie Turpin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811145691 PECOS PAC ID: 8224195284 Enrollment ID: I20150727000542 |
| Provider Name | John Ho |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538257803 PECOS PAC ID: 4880584762 Enrollment ID: I20150818005586 |
| Provider Name | Maureen Muke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497019483 PECOS PAC ID: 4486960317 Enrollment ID: I20150908002530 |
| Provider Name | Amusa Ntatin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285816322 PECOS PAC ID: 4981758166 Enrollment ID: I20150909001983 |
| Provider Name | Yu C Hong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568850816 PECOS PAC ID: 6002123817 Enrollment ID: I20150910002512 |
| Provider Name | Elizabeth Tjarks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487039061 PECOS PAC ID: 5991012650 Enrollment ID: I20150914002544 |
| Provider Name | Yohannes Bayissa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093022451 PECOS PAC ID: 6800013566 Enrollment ID: I20150922001005 |
| Provider Name | Jared G Nyabuti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255695797 PECOS PAC ID: 9133368822 Enrollment ID: I20151008001662 |
| Provider Name | Ghanshyam Palamaner Subash Shantha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942563176 PECOS PAC ID: 5395059745 Enrollment ID: I20151023002056 |
| Provider Name | Phillip Tran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376983817 PECOS PAC ID: 0143463349 Enrollment ID: I20151102001132 |
| Provider Name | Andrew Murray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356788624 PECOS PAC ID: 7618284506 Enrollment ID: I20151119002663 |
| Provider Name | Shanti P Subbarao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487910295 PECOS PAC ID: 9638484850 Enrollment ID: I20151125001897 |
| Provider Name | Salgram Jaisinghani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265544878 PECOS PAC ID: 1759311806 Enrollment ID: I20160311000078 |
| Provider Name | Suraj G Pazhoor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689805517 PECOS PAC ID: 8628227469 Enrollment ID: I20160419002957 |
| Provider Name | Guo Phoenix |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396901062 PECOS PAC ID: 5597935643 Enrollment ID: I20160504002663 |
| Provider Name | Disha Bharat Mehta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326488651 PECOS PAC ID: 0547562951 Enrollment ID: I20160510001008 |
| Provider Name | Spandan Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902247604 PECOS PAC ID: 5395047732 Enrollment ID: I20160510001914 |
| Provider Name | Rafael J Rolon Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316233661 PECOS PAC ID: 1456570738 Enrollment ID: I20160513000568 |
| Provider Name | Wasif A Bajwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497149116 PECOS PAC ID: 2961792379 Enrollment ID: I20160526000074 |
| Provider Name | Amar Fadlalla Eldow Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982079992 PECOS PAC ID: 9032400569 Enrollment ID: I20160614000821 |
| Provider Name | Hemant R Kade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841539541 PECOS PAC ID: 6709012479 Enrollment ID: I20160614001211 |
| Provider Name | Yuttana Chawengsub |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518306570 PECOS PAC ID: 7618190968 Enrollment ID: I20160615002231 |
| Provider Name | James Vodvarka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518955210 PECOS PAC ID: 9335191600 Enrollment ID: I20160621000532 |
| Provider Name | Christopher L Ifill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093905226 PECOS PAC ID: 8820262413 Enrollment ID: I20160630000200 |
| Provider Name | Kenosa Kosicho Okafor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184967838 PECOS PAC ID: 7315239779 Enrollment ID: I20160706001259 |
| Provider Name | Adnan Lakhani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871853671 PECOS PAC ID: 8628386539 Enrollment ID: I20160727000820 |
| Provider Name | Quynh-lan Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184064149 PECOS PAC ID: 1951697895 Enrollment ID: I20160901001276 |
| Provider Name | Lyndell Lomax |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639560410 PECOS PAC ID: 5890012843 Enrollment ID: I20160914002424 |
| Provider Name | John Sifuentes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154433621 PECOS PAC ID: 5395711980 Enrollment ID: I20160921000219 |
| Provider Name | Omer M Wali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275923906 PECOS PAC ID: 9537456082 Enrollment ID: I20160927000916 |
| Provider Name | Mary Br Clifton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255493086 PECOS PAC ID: 8224080452 Enrollment ID: I20161007000024 |
| Provider Name | Sana Iqbal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548601552 PECOS PAC ID: 0941502108 Enrollment ID: I20161103001758 |
| Provider Name | Mohammed M Shaik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508980434 PECOS PAC ID: 7214023514 Enrollment ID: I20170104000633 |
| Provider Name | Benny Kusuma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073734133 PECOS PAC ID: 5698825883 Enrollment ID: I20170213001525 |
| Provider Name | Vincent Hinshaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346286671 PECOS PAC ID: 7517928385 Enrollment ID: I20170518000387 |
| Provider Name | Rafael Bayramgalin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679988448 PECOS PAC ID: 9739305368 Enrollment ID: I20170519000115 |
| Provider Name | Curtis Jamison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598055790 PECOS PAC ID: 6103041603 Enrollment ID: I20170602000726 |
| Provider Name | Patrick O Odia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285041285 PECOS PAC ID: 0547530859 Enrollment ID: I20170719002756 |
| Provider Name | Kimberly A Willich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538680574 PECOS PAC ID: 7416227491 Enrollment ID: I20170725000339 |
| Provider Name | Michael Z Gebeyehu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053728188 PECOS PAC ID: 1557633484 Enrollment ID: I20170828000473 |
| Provider Name | Ramya K Maturu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841695483 PECOS PAC ID: 0143442889 Enrollment ID: I20171004003051 |
| Provider Name | Austin C Knott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396164125 PECOS PAC ID: 2466765946 Enrollment ID: I20171018002982 |
| Provider Name | Jodie L Grout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063657369 PECOS PAC ID: 5799849618 Enrollment ID: I20180124002883 |
| Provider Name | Wendy Waterbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518331784 PECOS PAC ID: 0547561912 Enrollment ID: I20180216001178 |
| Provider Name | Sree V Pilla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760883995 PECOS PAC ID: 3476810177 Enrollment ID: I20180712000210 |
| Provider Name | Sergiy Georgiyev |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821324831 PECOS PAC ID: 2163670241 Enrollment ID: I20180720001227 |
| Provider Name | Sivateja Mandava |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396130175 PECOS PAC ID: 9638469273 Enrollment ID: I20181105000130 |
| Provider Name | John B Pflugi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790179331 PECOS PAC ID: 8628365624 Enrollment ID: I20181218003749 |
| Provider Name | Amgad Mentias |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770922304 PECOS PAC ID: 0648562611 Enrollment ID: I20190128000162 |
| Provider Name | Sarah Sue Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124580329 PECOS PAC ID: 9032452578 Enrollment ID: I20190523002376 |
| Provider Name | Chimaroke Edeoga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659711893 PECOS PAC ID: 8921379751 Enrollment ID: I20190625000337 |
| Provider Name | Garri Priyampolskiy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659760833 PECOS PAC ID: 6406129212 Enrollment ID: I20190701000189 |
| Provider Name | Shipeng Wei |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023469798 PECOS PAC ID: 4789970179 Enrollment ID: I20190709000693 |
| Provider Name | Fikru G Heramo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962864751 PECOS PAC ID: 1759619927 Enrollment ID: I20190826002829 |
| Provider Name | Elmuataz Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265989560 PECOS PAC ID: 6901136597 Enrollment ID: I20190924003843 |
| Provider Name | Nitin Sainani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952745093 PECOS PAC ID: 8123327921 Enrollment ID: I20191031000134 |
| Provider Name | Ahmad M Nafe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841640190 PECOS PAC ID: 9638401078 Enrollment ID: I20191104002513 |
| Provider Name | Ricky Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649633173 PECOS PAC ID: 7012254527 Enrollment ID: I20191119001838 |
| Provider Name | Shoaib Sheikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275575581 PECOS PAC ID: 6709883325 Enrollment ID: I20191227001047 |
| Provider Name | Prejith P Rajendran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255758298 PECOS PAC ID: 3173879335 Enrollment ID: I20200122001799 |
| Provider Name | Thuyanh T Culver |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932497658 PECOS PAC ID: 7214152479 Enrollment ID: I20200318001315 |
| Provider Name | Jonas Kwiatkowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346796646 PECOS PAC ID: 6406142033 Enrollment ID: I20200805000961 |
| Provider Name | Derrick Alger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477082915 PECOS PAC ID: 4688943640 Enrollment ID: I20200825000668 |
| Provider Name | Jorge Capella-gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093866808 PECOS PAC ID: 4688932635 Enrollment ID: I20200827001225 |
| Provider Name | Farrukh Fayyaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851811715 PECOS PAC ID: 0042638025 Enrollment ID: I20200909000330 |
| Provider Name | Hammad Jawaid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053844662 PECOS PAC ID: 8729325006 Enrollment ID: I20200914002018 |
| Provider Name | Julianne Carson-hem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184211591 PECOS PAC ID: 7315101094 Enrollment ID: I20210108000798 |
| Provider Name | Alvin D Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891059499 PECOS PAC ID: 0749561496 Enrollment ID: I20210302000624 |
| Provider Name | Matthew Callander |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568773588 PECOS PAC ID: 7517109812 Enrollment ID: I20210415002719 |
| Provider Name | Mary Margaret Barkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669053765 PECOS PAC ID: 2466852074 Enrollment ID: I20210617002272 |
| Provider Name | Umer Mukhtar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750802849 PECOS PAC ID: 1759653348 Enrollment ID: I20210625000827 |
| Provider Name | Rosita Alyssa Chefetz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982847158 PECOS PAC ID: 5991934069 Enrollment ID: I20210629002693 |
| Provider Name | Mahad Rayale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053807578 PECOS PAC ID: 6406103647 Enrollment ID: I20210715003689 |
| Provider Name | Baha'a Abdel-fattah Al-azzam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477087369 PECOS PAC ID: 8022440429 Enrollment ID: I20210723002441 |
| Provider Name | Sanober Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275549529 PECOS PAC ID: 8729031620 Enrollment ID: I20210824001371 |
| Provider Name | Rachael Nambusi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003255985 PECOS PAC ID: 8729394267 Enrollment ID: I20210824001630 |
| Provider Name | Rajiv A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063434314 PECOS PAC ID: 9931154978 Enrollment ID: I20210824001848 |
| Provider Name | Renuka Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720374051 PECOS PAC ID: 0840514030 Enrollment ID: I20210827002645 |
| Provider Name | Allison M Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083104236 PECOS PAC ID: 9931450855 Enrollment ID: I20210831002222 |
| Provider Name | Kalpana Kumar Puri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043705841 PECOS PAC ID: 5395149330 Enrollment ID: I20211004001268 |
| Provider Name | Ayman Nasir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629503362 PECOS PAC ID: 7416208202 Enrollment ID: I20211007002552 |
| Provider Name | Kartik Kailesh Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568786465 PECOS PAC ID: 2466693346 Enrollment ID: I20211014000700 |
| Provider Name | Aman Luthra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982191862 PECOS PAC ID: 2769730035 Enrollment ID: I20211026000960 |
| Provider Name | Bridget Nore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306508262 PECOS PAC ID: 8426447988 Enrollment ID: I20211123000673 |
| Provider Name | Skye Aileen Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962020297 PECOS PAC ID: 0749670115 Enrollment ID: I20211130000966 |
| Provider Name | Sherif Latif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518167188 PECOS PAC ID: 9830221233 Enrollment ID: I20220407001109 |
| Provider Name | Robert Tiballi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194757427 PECOS PAC ID: 6406839737 Enrollment ID: I20220518002213 |
| Provider Name | Faraz Masood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609071661 PECOS PAC ID: 8426242066 Enrollment ID: I20220818003023 |
| Provider Name | Fnu Dayawa Da Agoons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083174429 PECOS PAC ID: 1456687284 Enrollment ID: I20220923002854 |
| Provider Name | Deepak Pasupula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619382397 PECOS PAC ID: 4789943143 Enrollment ID: I20221006000135 |
| Provider Name | Deeksha Misra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437645561 PECOS PAC ID: 9638555188 Enrollment ID: I20221006000809 |
| Provider Name | Laeeq Butt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841684735 PECOS PAC ID: 2264719335 Enrollment ID: I20221107002251 |
| Provider Name | Breanna Marie Garcia Talbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992428643 PECOS PAC ID: 6901273770 Enrollment ID: I20221108000879 |
| Provider Name | Divya Movva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467619155 PECOS PAC ID: 4183094832 Enrollment ID: I20221221002445 |
| Provider Name | Ijeoma Arubaleze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881081933 PECOS PAC ID: 2062768591 Enrollment ID: I20230406001464 |
| Provider Name | Sarah Jo Merritt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477258184 PECOS PAC ID: 7416312368 Enrollment ID: I20230427001099 |
| Provider Name | Miranda Rebecca Temple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740989920 PECOS PAC ID: 1254796097 Enrollment ID: I20230428002376 |
| Provider Name | Dennis M Termulo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336321488 PECOS PAC ID: 4183776735 Enrollment ID: I20230530001352 |
| Provider Name | Etee K Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831659986 PECOS PAC ID: 3173983012 Enrollment ID: I20230724002523 |
| Provider Name | Srinivas Katta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841428752 PECOS PAC ID: 4385878412 Enrollment ID: I20230811002665 |
| Provider Name | Tenzin M Rabgay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467072967 PECOS PAC ID: 1658734165 Enrollment ID: I20230831001751 |
| Provider Name | Anant Vinjamoori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689088999 PECOS PAC ID: 6406194315 Enrollment ID: I20231020000565 |
| Provider Name | Amy Marie Latwesen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588342323 PECOS PAC ID: 6406202472 Enrollment ID: I20231026003853 |
| Provider Name | Rezwan F Munshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427510122 PECOS PAC ID: 6406184738 Enrollment ID: I20240129003324 |
| Provider Name | Poyani Desai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902285141 PECOS PAC ID: 7113271438 Enrollment ID: I20240403000625 |
| Provider Name | Fernando Madero Gorostieta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720219637 PECOS PAC ID: 2365608916 Enrollment ID: I20240403003683 |
| Provider Name | Ifedolapo Sulyman Olanrewaju |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033465893 PECOS PAC ID: 2668764077 Enrollment ID: I20240403004220 |
| Provider Name | Christopher Bronson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336678408 PECOS PAC ID: 7214207752 Enrollment ID: I20240422000175 |
| Provider Name | Ishani Dharmesh Kumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639799869 PECOS PAC ID: 6800338781 Enrollment ID: I20240606002474 |
Millennium Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5260 Northwest Blvd, Suite 2, Davenport, IA 52806 Phone: 563-445-2400 Fax: 563-445-2404 | |
Renee D Lass Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4626 Progress Dr Ste B, Davenport, IA 52807 Phone: 563-359-3736 Fax: 563-359-0153 | |
Quad Cities Internal Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3509 Spring St, Suite 3, Davenport, IA 52807 Phone: 563-359-5011 Fax: 359-355-3438 | |
Community Health Care, Inc. Outreach Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 902 W 4th St, Davenport, IA 52802 Phone: 563-336-3000 Fax: 563-336-3125 | |
Genesis Health Group Davenport Clinic Health Home Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1820 W 3rd St, Davenport, IA 52802 Phone: 563-421-0500 Fax: 563-326-1901 | |
Quad Cities Pediatrics, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5510 Utica Ridge Rd Ste 100, Davenport, IA 52807 Phone: 563-424-2025 Fax: 563-424-2042 | |
Genesis Convenient Care Davenport Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 W 53rd St, Davenport, IA 52806 Phone: 563-421-3800 Fax: 563-421-3810 |