Organization Active NPI

Midwest Hernia Institute, PC

  • Surgery Physician
  • Moline, IL
National Provider Identifier
1376776559
Registry record updated Sep 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036070044 Issued in IL
Legal business name
MIDWEST HERNIA INSTITUTE, PC
Practice address
500 John Deere Rd
Moline, IL 61265-6892
Phone
(563) 742-5100
NPI assigned
Sep 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2009

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

Authorized official

Name
Dr. David A Arnold, D.O.
Title
President
Phone
(563) 328-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 036070044 IL Primary

Addresses

Primary practice location

500 John Deere Rd
Moline, IL 61265-6892

Mailing address

1351 W Central Park Ave
430
Davenport, IA 52804-1853
Phone (563) 328-5300

National Provider Directory

National Provider Directory

Locations

1351 W Central Park Ave
#430
Davenport, IA 52804

1351 W Central Park Ave
Ste 430
Davenport, IA 52804
Phone (563) 328-5300

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": "1251936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251936000000",
    "number": "1376776559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 W CENTRAL PARK AVE",
            "address_2": "430",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528041853",
            "telephone_number": "563-328-5300",
            "fax_number": "563-328-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 JOHN DEERE RD",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656892",
            "telephone_number": "563-742-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST HERNIA INSTITUTE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-03",
        "last_updated": "2009-09-03",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-328-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036070044",
            "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 Sep 3, 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.