Quad City Rheumatology SC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

QUAD CITY RHEUMATOLOGY SC

Practice address

2202 18TH Ave
Rock Island, IL 61201-3614

Phone

(309) 762-3400

Fax

(309) 764-3878

NPI assigned

May 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael F Miniter, MDNPI 1780663500

Title

MD

Phone

(309) 793-3400

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Francis Miniter, M.D.

  • Rheumatology Physician
  • Rock Island, IL
  • NPI 1780663500
  NPD (past) Authorized official

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1114974581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 18TH AVE",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612013614",
            "telephone_number": "309-793-3400",
            "fax_number": "309-793-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 18TH AVE",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612013614",
            "telephone_number": "309-762-3400",
            "fax_number": "309-764-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAD CITY RHEUMATOLOGY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "MINITER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "309-793-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036081977",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID#",
            "identifier": "208506",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quad Cities Kidney Center Rock Island, LLC
• Quad City Behavioral Health Associates, PLLC
• Quad City Orthodontic Group, LLC
• Quad City Prosthetic Inc
• Quad City Psychotherapy, PLLC
• Quest Diagnostics LLC
• Allyson Chantell Quick, LPN
• Narayanswamy V Rama Prabhu, MD
• Carrey Ramey
• Rammohan Marla, P.C.

• Rheumatology Physician in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Rheumatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.