Organization Active NPI

Elizabeth E Temple MD LTD

  • Obstetrics & Gynecology Physician
  • Moline, IL
National Provider Identifier
1164752374
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
336056954 Issued in IL
Legal business name
ELIZABETH E TEMPLE MD LTD
Practice address
616 35TH Ave
Moline, IL 61265-6158
Phone
(309) 797-3500
Fax
(309) 797-3540
NPI assigned
Jan 11, 2010
Last updated
Jul 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Authorized official

Name
Dr. Elizabeth E Temple, MDNPI 1053390302
Title
Owner
Phone
(309) 797-3500

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
Obstetrics & Gynecology Physician 207V00000X 336056954 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

National Provider Directory

National Provider Directory

Locations

616 35th Ave
Moline, IL 61265
Phone (309) 764-2994

616 35th Ave
Ste 4
Moline, IL 61265
Phone (309) 526-3395

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": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1164752374",
    "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": {
        "organization_name": "ELIZABETH E TEMPLE MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "TEMPLE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-797-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "336056954",
            "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 Jul 21, 2010; 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.