NPIMap

Organization Active NPI

Huffman Clinic, PLLC

  • Family Medicine Physician
  • Bettendorf, IA
National Provider Identifier
1558896258
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-20280 Issued in IA
Legal business name
HUFFMAN CLINIC, PLLC
Practice address
4480 Utica Ridge Rd
Suite 110
Bettendorf, IA 52722-1656
Phone
(563) 742-5100
NPI assigned
May 1, 2017
Last updated
May 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Authorized official

Name
Dr. Maurice D Huffman, MDNPI 1316932429
Title
Owner
Phone
(563) 451-7692

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD-20280 IA Primary

Addresses

Primary practice location

4480 Utica Ridge Rd
Suite 110
Bettendorf, IA 52722-1656

Mailing address

PO Box 850
Moline, IL 61266-0850
Phone (309) 762-9711

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1558896258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612660850",
            "telephone_number": "309-762-9711",
            "fax_number": "309-764-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 UTICA RIDGE RD",
            "address_2": "SUITE 110",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221656",
            "telephone_number": "563-742-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUFFMAN CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "HUFFMAN",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-451-7692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-20280",
            "primary": true
        }
    ],
    "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 May 1, 2017; 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.