Active NPI
Jacs PC
- Plastic Surgery Physician
- Davenport, IA
National Provider Identifier
1386623437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 34961
- Legal business name
- JACS PC
- Doing business as
- PLASTIC SURGERY SPECIALIST PC
- Practice address
- 5335 Eastern Ave Ste C
Davenport, IA 52807-2788 - Phone
- (563) 323-0026
- Fax
- (563) 326-4280
- NPI assigned
- Jan 16, 2006
- 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
- James Searles, MD
- Title
- Registered Officier
- Phone
- (563) 323-0026
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 34961 | IA | Primary |
Addresses
Primary practice location
5335 Eastern Ave Ste C
Davenport, IA 52807-2788
Mailing address
5335 Eastern Ave Ste C
Davenport, IA 52807-2788
Phone (563) 323-0026
Other names 1
- PLASTIC SURGERY SPECIALIST PC
National Provider Directory
National Provider DirectoryLocations
1228 E Rusholme St
#1
Davenport, IA 52803
Phone (563) 323-0026
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Davenport, IA
- NPI 1902885056
-
- Plastic and Reconstructive Surgery Physician
- Savannah, GA
- NPI 1710966866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215475200000",
"number": "1386623437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5335 EASTERN AVE STE C",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528072788",
"telephone_number": "563-323-0026",
"fax_number": "563-326-4280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5335 EASTERN AVE STE C",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528072788",
"telephone_number": "563-323-0026",
"fax_number": "563-326-4280"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-16",
"last_updated": "2008-07-08",
"status": "A",
"authorized_official_last_name": "SEARLES",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "REGISTERED OFFICIER",
"authorized_official_telephone_number": "563-323-0026",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "IA",
"license": "34961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PLASTIC SURGERY SPECIALIST PC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.