Organization Active NPI

Eva Endovascular Access Centers of America PLLC

  • Nephrology Physician
  • Bettendorf, IA
National Provider Identifier
1417629338
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
EVA ENDOVASCULAR ACCESS CENTERS OF AMERICA PLLC
Practice address
3682 Utica Ridge Road
Bettendorf, IA 52722
Phone
(563) 279-1590
NPI assigned
Sep 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Haley Ann Slifka
Title
Operations Associate
Phone
(319) 654-6741

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X

Addresses

Primary practice location

3682 Utica Ridge Road
Bettendorf, IA 52722

Mailing address

1350 Boyson Rd Ste C1
Hiawatha, IA 52233-2211
Phone (319) 654-6741

National Provider Directory

National Provider Directory

Locations

3682 Utica Ridge Rd
Bettendorf, IA 52722
Phone (309) 757-7780

3682 Utica Ridge Rd
#B
Bettendorf, IA 52722
Phone (563) 279-1590

1350 Boyson Rd
Ste C1
Hiawatha, IA 52233

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1417629338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 BOYSON RD STE C1",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332211",
            "telephone_number": "319-654-6741",
            "fax_number": "563-279-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3682 UTICA RIDGE ROAD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "52722",
            "telephone_number": "563-279-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVA ENDOVASCULAR ACCESS CENTERS OF AMERICA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "SLIFKA",
        "authorized_official_first_name": "HALEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OPERATIONS ASSOCIATE",
        "authorized_official_telephone_number": "319-654-6741"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.