Aeon Sleep Group

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

AEON SLEEP GROUP

Practice address

730 E Kimberly Rd
Suite C
Davenport, IA 52807-1621

Phone

(563) 386-1904

Fax

(563) 449-5450

NPI assigned

Aug 1, 2012

Organization subpart

No

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

Authorized official

Name

Penny T. Grunder

Title

Project Manager

Phone

(563) 386-1904

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1770839300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 E KIMBERLY RD",
            "address_2": "SUITE C",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528071621",
            "telephone_number": "563-386-1904",
            "fax_number": "563-449-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 E KIMBERLY RD",
            "address_2": "SUITE C",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528071621",
            "telephone_number": "563-386-1904",
            "fax_number": "563-449-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEON SLEEP GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "GRUNDER",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "563-386-1904"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olayinka A. Adedayo, M.D.
• Aina Nyenma Adekunle, M.D.
• Advanced Pain Control Center, PC
• Advanced Wellness Sports and Spine, PC
• Aeon Group HST
• Affluence Care LLC
• Nancy J Agnew, ARNP
• Ama Asantewaa Agyabeng, PHARMD
• Madisen Ahlstrom, PA-C
• Raminder S Ahluwalia, MD

• Medical Specialty Clinic/Center in Davenport, IA
• Providers in Davenport, IA by specialty
• Medical Specialty Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.