Active NPI
Donna Poesch M.D.S.C
- Dermatology Physician
- Moline, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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 DirectoryLocations
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.
-
- Dermatology Physician
- Moline, IL
- NPI 1245211051
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.