Organization Active NPI

Hematology-Oncology Associates of the Quad Cities, PC

  • Hematology & Oncology Physician
  • Bettendorf, IA
National Provider Identifier
1578639126
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
HEMATOLOGY-ONCOLOGY ASSOCIATES OF THE QUAD CITIES, PC
Practice address
1351 Kimberly Rd
Ste 100
Bettendorf, IA 52722-4193
Phone
(563) 355-7733
Fax
(563) 355-9077
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Ms. Krista S Crump, RN, OCN
Title
Practice Manager
Phone
(563) 355-7733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

1351 Kimberly Rd
Ste 100
Bettendorf, IA 52722-4193

Mailing address

1351 Kimberly Rd
Ste 100
Bettendorf, IA 52722-4193
Phone (563) 355-7733

Other identifiers 1

IdentifierTypeStateIssuer
0110700MedicaidIA

National Provider Directory

National Provider Directory

Locations

1351 Kimberly Rd
Bettendorf, IA 52722
Phone (319) 355-7733

Practitioners & affiliated clinicians

Practitioners 1

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": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1578639126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 KIMBERLY RD",
            "address_2": "STE 100",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224193",
            "telephone_number": "563-355-7733",
            "fax_number": "563-355-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 KIMBERLY RD",
            "address_2": "STE 100",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224193",
            "telephone_number": "563-355-7733",
            "fax_number": "563-355-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMATOLOGY-ONCOLOGY ASSOCIATES OF THE QUAD CITIES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "CRUMP",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "563-355-7733",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, OCN"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0110700",
            "state": "IA"
        }
    ],
    "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 Feb 1, 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.