Active NPI
Thomas C Quesnell, M.S.
- Audiologist
- Davenport, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 415
- Practice address
- 1227 E Rusholme St
Dept of Speech and Hearing
Davenport, IA 52803-2459 - Phone
- (563) 421-1400
- Fax
- (563) 421-1410
- NPI assigned
- Apr 23, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 415 | IA | Primary |
Addresses
Primary practice location
1227 E Rusholme St
Dept of Speech and Hearing
Davenport, IA 52803-2459
Mailing address
1915 18TH St
Bettendorf, IA 52722-3716
Phone (563) 421-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 717 | Other | IA | HEARING AID DEALER LIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3385 Dexter CT
Suite 101
Davenport, IA 52807-3471
Phone (563) 359-1646
600 John Deere Rd
Suite 400
Moline, IL 61265-6812
Phone (563) 359-1646
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 415 | IA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT Professional Services, PC | Current | Accepting new patients | |
| ENT Hearing AIDS, LLC | Audiologist | Past | Accepting new patients |
Locations
3385 Dexter Ct
Ste 101
Davenport, IA 52807
Phone (319) 359-1646
600 John Deere Rd
Ste 400
Moline, IL 61265
Phone (309) 779-4600
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.237
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist
- Davenport, IA
- NPI 1316189715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639397029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1915 18TH ST",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527223716",
"telephone_number": "563-421-1400",
"fax_number": "563-421-1410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1227 E RUSHOLME ST",
"address_2": "DEPT OF SPEECH AND HEARING",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528032459",
"telephone_number": "563-421-1400",
"fax_number": "563-421-1410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUESNELL",
"first_name": "THOMAS",
"middle_name": "C",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IA",
"license": "415",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEARING AID DEALER LIC",
"identifier": "717",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.