Active NPI
Elizabeth E Temple, MD
- Obstetrics & Gynecology Physician
- Moline, IL
National Provider Identifier
1053390302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Practice address
- 616 35TH Ave
Moline, IL 61265-6158 - Phone
- (309) 797-3500
- Fax
- (309) 797-3540
- NPI assigned
- Jan 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | IL | Primary |
Addresses
Primary practice location
616 35TH Ave
Moline, IL 61265-6158
Mailing address
616 35TH Ave
Moline, IL 61265-6158
Phone (309) 797-3500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08125804 | Other | IL | BLUE CROSS BLUE SHIELD |
| 1184390 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036096712 | IL | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1053390302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 35TH AVE",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656158",
"telephone_number": "309-797-3500",
"fax_number": "309-797-3540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 35TH AVE",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656158",
"telephone_number": "309-797-3500",
"fax_number": "309-797-3540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEMPLE",
"first_name": "ELIZABETH",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "08125804",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184390",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.