Individual provider Active NPI

Kenneth L Naylor, MD

  • Obstetrics & Gynecology Physician
  • Davenport, IA
National Provider Identifier
1780658229
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
27337 Issued in IA
Practice address
5350 Eastern Ave
Davenport, IA 52807-2709
Phone
(563) 355-1853
Fax
(563) 359-1512
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 27337 IA Primary

Addresses

Primary practice location

5350 Eastern Ave
Davenport, IA 52807-2709

Mailing address

5350 Eastern Ave
Davenport, IA 52807-2709
Phone (563) 355-1853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100820001030 IA Practitioner - Obstetrics/Gynecology 3678514817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Utah School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obstetrics and Gynecology Specialists PCGroup PAC ID 8426947813, 8 clinicians

Practice addresses (Care Compare)

5350 Eastern Ave
Davenport, IA 52807-2709
Phone (563) 355-1853

5350 Eastern Ave
Davenport, IA 52807-2738

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27337IAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrics and Gynecology Specialists PC Obstetrics & Gynecology CurrentSince Jul 1, 1990 Accepting new patients
Genesis Health System CurrentSince Oct 16, 2025 Accepting new patients
Genesis Health System Obstetrics & Gynecology CurrentSince Oct 16, 2025 Accepting new patients
Genesis Health System Past Accepting new patients

Locations

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

2745 Lincoln Way
Clinton, IA 52732
Phone (563) 242-3208

5350 Eastern Ave
Davenport, IA 52807
Phone (563) 355-1853

210 W 53rd St
Davenport, IA 52806
Phone (563) 386-3436

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

619 5th St
Durant, IA 52747
Phone (563) 785-4487

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1036

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1780658229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 EASTERN AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072709",
            "telephone_number": "563-355-1853",
            "fax_number": "563-359-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 EASTERN AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072709",
            "telephone_number": "563-355-1853",
            "fax_number": "563-359-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYLOR",
        "first_name": "KENNETH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "27337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.