David H Marcowitz DO SC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

036082773 Issued in IL

Legal business name

DAVID H MARCOWITZ DO SC

Practice address

4370 7TH St
Moline, IL 61265-6867

Phone

(309) 757-9191

Fax

(309) 757-9192

NPI assigned

Dec 14, 2007

Last updated

Nov 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Dawn Marie Earley

Title

Office Manager

Phone

(309) 757-9191

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1407039266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 7TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656867",
            "telephone_number": "309-757-9191",
            "fax_number": "309-757-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 7TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656867",
            "telephone_number": "309-757-9191",
            "fax_number": "309-757-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID H MARCOWITZ DO SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "EARLEY",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "309-757-9191",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036082773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036082773",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER",
            "identifier": "080179981",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08132007",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence W Curtiss, APRN
• Kristin Marie Czuba, PT
• Rajendra Dahal, M.D.
• Regina Gabrielle Daniels, CRNA
• Michelle Taimi Dasso
• David S. Petersen, M.D.S.C.
• David T Ade
• John Davies, MD
• Lashona Michelle Davis, CMA
• Julie Lyn Dean, DC, DICCP

• General Practice Physician in Moline, IL
• Providers in Moline, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.