| Quad Cities Pediatrics, P.c. | |
|
5510 Utica Ridge Rd Ste 100 Davenport IA 52807-2935 | |
| (563) 424-2025 | |
| (563) 424-2042 |
| Full Name | Quad Cities Pediatrics, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5510 Utica Ridge Rd Ste 100, Davenport, Iowa |
| Authorized Official Name and Position | Majdi A Omar (PRESIDENT) |
| Authorized Official Contact | 5634242025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quad Cities Pediatrics, P.c. 5510 Utica Ridge Rd Ste 100 Davenport IA 52807-2935 Ph: (563) 424-2025 | Quad Cities Pediatrics, P.c. 5510 Utica Ridge Rd Ste 100 Davenport IA 52807-2935 Ph: (563) 424-2025 |
| NPI Number | 1174818447 |
|---|---|
| Provider Enumeration Date | 06/15/2011 |
| Last Update Date | 04/23/2014 |
| Medicare PECOS PAC ID | 0840508016 |
|---|---|
| Medicare Enrollment ID | O20151008000116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174818447 | NPI | - | NPPES |
| 4225250 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 32037 (Iowa) | Primary |
| Provider Name | Nazir Y Kayali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083619571 PECOS PAC ID: 4688679251 Enrollment ID: I20061003000731 |
| Provider Name | Majdi A Omar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245236587 PECOS PAC ID: 2365447943 Enrollment ID: I20061004000105 |
| Provider Name | Melissa L Jobgen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205074713 PECOS PAC ID: 3870658925 Enrollment ID: I20090224000601 |
| Provider Name | Catherine Roche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871928093 PECOS PAC ID: 5890003099 Enrollment ID: I20151008001267 |
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 | |
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 |