Active NPI
Hematology-Oncology Associates of the Quad Cities, PC
- Hematology & Oncology Physician
- Bettendorf, IA
National Provider Identifier
1578639126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0110700 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
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.