NPIMap

Organization Active NPI

Quad City Occupational Health

  • Occupational Medicine Physician
  • Davenport, IA
National Provider Identifier
1396719423
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
QUAD CITY OCCUPATIONAL HEALTH
Practice address
1820 W 3Rd St
Davenport, IA 52802-1812
Phone
(563) 322-2103
Fax
(563) 322-2117
NPI assigned
Feb 15, 2006
Last updated
May 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Authorized official

Name
Annette Dawn Lane
Title
Administrative Assistant
Phone
(563) 327-0132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X Primary

Addresses

Primary practice location

1820 W 3Rd St
Davenport, IA 52802-1812

Mailing address

PO Box 3488
Davenport, IA 52808-3488
Phone (563) 327-0132

National Provider Directory

National Provider Directory
Tax ID family
Quad City Occupational Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1396719423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3488",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528083488",
            "telephone_number": "563-327-0132",
            "fax_number": "563-359-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W 3RD ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528021812",
            "telephone_number": "563-322-2103",
            "fax_number": "563-322-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAD CITY OCCUPATIONAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "563-327-0132"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 1, 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.