Active NPI
Geeta Mahadevia, M.D.
- Occupational Medicine Physician
- Davenport, IA
National Provider Identifier
1720040835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 25281
- Practice address
- 3319 Spring St
Suite 103
Davenport, IA 52807-2125 - Phone
- (563) 324-0696
- Fax
- (563) 324-0697
- NPI assigned
- Apr 4, 2006
- Last updated
- Nov 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 25281 | IA | Primary |
| Occupational Medicine Physician | 2083X0100X | IL |
Addresses
Primary practice location
3319 Spring St
Suite 103
Davenport, IA 52807-2125
Mailing address
3319 Spring St
Suite 103
Davenport, IA 52807-2125
Phone (563) 324-0696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-067540 | IL | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Health System | Past | Accepting new patients | |
| Genesis Health System | Past | Accepting new patients |
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.
-
dba Genesis Health Group
- Family Medicine Physician
- Bettendorf, IA
- NPI 1225018211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194393600000",
"number": "1720040835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3319 SPRING ST",
"address_2": "SUITE 103",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528072125",
"telephone_number": "563-324-0696",
"fax_number": "563-324-0697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3319 SPRING ST",
"address_2": "SUITE 103",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528072125",
"telephone_number": "563-324-0696",
"fax_number": "563-324-0697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHADEVIA",
"first_name": "GEETA",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-04",
"last_updated": "2007-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "IA",
"license": "25281",
"primary": true
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
- Brooke Nicole Macdougall, FNP
- Marguerite A Macek, ARNP
- Joseph S Maciejko, PH.D.
- Madison County Medical Equipment, Inc. (AeroCare)
- Akshay Kantilal Mahadevia, MD
- Emily Cathryn Maiers, ARNP
- Main Family Dental Care
- Main Street Health Partners, P.C. (Main Street Health Medical Partners-Iowa)
- Melinda Sue Malchow, ARNP
- Ashu Malhotra, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.