Active NPI
Blair W Foreman, M.D.
- Clinical Cardiac Electrophysiology Physician
- Davenport, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 29445
- Practice address
- 1236 E Rusholme St Ste 300
Davenport, IA 52803-2473 - Phone
- (633) 242-9925
- NPI assigned
- Jan 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 29445 | IA | Primary |
Addresses
Primary practice location
1236 E Rusholme St Ste 300
Davenport, IA 52803-2473
Mailing address
630 Riverview Ter
Bettendorf, IA 52722-4041
Phone (563) 508-4597
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060055859 | Other | MEDICARE RAILROAD | |
| 3114827 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Health System | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| Trinity Medical Center | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| Cardiovascular Medicine PLLC | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients |
Locations
4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724
1236 E Rusholme St
Ste 300
Davenport, IA 52803
Phone (319) 324-2992
1401 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900
1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160
210 W 53rd St
Davenport, IA 52806
Phone (563) 386-3436
210 W Elk St
Geneseo, IL 61254
Phone (309) 743-6700
2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200
801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
-
- Clinic/Center
- Bettendorf, IA
- NPI 1497772008
-
- Family Medicine Physician
- Davenport, IA
- NPI 1477654945
-
- Critical Access Hospital
- De Witt, IA
- NPI 1649368523
-
- General Acute Care Hospital
- Davenport, IA
- NPI 1972542264
-
- Psychiatry Physician
- Rock Island, IL
- NPI 1033163829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1750360616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 RIVERVIEW TER",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527224041",
"telephone_number": "563-508-4597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1236 E RUSHOLME ST STE 300",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528032473",
"telephone_number": "633-242-9925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOREMAN",
"first_name": "BLAIR",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "IA",
"license": "29445",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "060055859",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3114827",
"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 May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.