Active NPI
Jeremy J McGrath, PA-C
- Medical Physician Assistant
- Davenport, IA
National Provider Identifier
1790742864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 001395
- Practice address
- 3385 Dexter CT
Ste 101
Davenport, IA 52807-3471 - Phone
- (563) 359-1646
- Fax
- (563) 344-6703
- NPI assigned
- May 1, 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 001395 | IA | Primary |
Addresses
Primary practice location
3385 Dexter CT
Ste 101
Davenport, IA 52807-3471
Mailing address
3385 Dexter CT
Ste 101
Davenport, IA 52807-3471
Phone (563) 359-1646
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- 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
5254 Utica Ridge Rd
Davenport, IA 52807-3872
Phone (563) 359-3799
Hospital & facility affiliations
- Genesis Medical Center-Davenport
- Genesis HLTH System Dba Genesis MDL Ctr-Illini
- Mercyone Genesis Dewitt Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT Hearing AIDS, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Specialist
- Davenport, IA
- NPI 1457499758
-
- Physical Therapy Clinic/Center
- Davenport, IA
- NPI 1033166749
-
- Audiologist
- Davenport, IA
- NPI 1316189715
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- De Witt, IA
- NPI 1649368523
-
- General Acute Care Hospital
- Davenport, IA
- NPI 1972542264
-
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319673600000",
"number": "1790742864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3385 DEXTER CT",
"address_2": "STE 101",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528073471",
"telephone_number": "563-359-1646",
"fax_number": "563-344-6703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3385 DEXTER CT",
"address_2": "STE 101",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528073471",
"telephone_number": "563-359-1646",
"fax_number": "563-344-6703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGRATH",
"first_name": "JEREMY",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2011-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IA",
"license": "001395",
"primary": true
}
],
"identifiers": [],
"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 Oct 27, 2011; 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.
- 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.