Organization Active NPI

Donna Poesch M.D.S.C

  • Dermatology Physician
  • Moline, IL
National Provider Identifier
1104845189
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DONNA POESCH M.D.S.C
Practice address
1302 7TH St
Suite 202
Moline, IL 61265-2900
Phone
(309) 277-0772
Fax
(309) 277-0774
NPI assigned
Jul 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donna Lynne Poesch, M.D.S.C.NPI 1245211051
Title
Physician/Owner
Phone
(309) 277-0772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X IL Primary

Addresses

Primary practice location

1302 7TH St
Suite 202
Moline, IL 61265-2900

Mailing address

1302 7TH St
Suite 202
Moline, IL 61265-2900
Phone (309) 277-0772

National Provider Directory

National Provider Directory

Locations

1302 7th St
Ste 202
Moline, IL 61265
Phone (309) 277-0772

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104845189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 7TH ST",
            "address_2": "SUITE 202",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612652900",
            "telephone_number": "309-277-0772",
            "fax_number": "309-277-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 7TH ST",
            "address_2": "SUITE 202",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612652900",
            "telephone_number": "309-277-0772",
            "fax_number": "309-277-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA POESCH M.D.S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POESCH",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "309-277-0772",
        "authorized_official_credential": "M.D.S.C."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.