Organization Active NPI

Family Care Partners of the Quad Cities, P.C.

  • Family Medicine Physician
  • Bettendorf, IA
National Provider Identifier
1174567903
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
060-006842 Issued in IL
Legal business name
FAMILY CARE PARTNERS OF THE QUAD CITIES, P.C.
Practice address
3740 Utica Ridge Rd
Suite B
Bettendorf, IA 52722-1657
Phone
(563) 344-7400
Fax
(563) 359-9395
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Authorized official

Name
Dr. Lynn Brian Geick, M.D.
Title
Corporation Co-President
Phone
(563) 344-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 060-006842 IL Primary

Addresses

Primary practice location

3740 Utica Ridge Rd
Suite B
Bettendorf, IA 52722-1657

Mailing address

3740 Utica Ridge Rd
Suite B
Bettendorf, IA 52722-1657
Phone (563) 344-7400

Other identifiers 6

IdentifierTypeStateIssuer
CG5785OtherMEDICARE RAILROAD
40801OtherIABLUE CROSS BLUE SHIELD
CH0619OtherMEDICARE RAILROAD
0283911MedicaidIA
DB5028OtherMEDICARE RAILROAD
8122900OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

602 35th Ave
Moline, IL 61265
Phone (309) 797-4688

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1174567903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 UTICA RIDGE RD",
            "address_2": "SUITE B",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221657",
            "telephone_number": "563-344-7400",
            "fax_number": "563-359-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 UTICA RIDGE RD",
            "address_2": "SUITE B",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221657",
            "telephone_number": "563-344-7400",
            "fax_number": "563-359-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE PARTNERS OF THE QUAD CITIES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "GEICK",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "CORPORATION CO-PRESIDENT",
        "authorized_official_telephone_number": "563-344-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "060-006842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CG5785",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "40801",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CH0619",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0283911",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DB5028",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8122900",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.