Organization Active NPI

Jacs PC

  • Plastic Surgery Physician
  • Davenport, IA
National Provider Identifier
1386623437
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
34961 Issued in IA
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

Updated by the provider on Jul 8, 2008

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)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.