Andrew Paul Rauwolf, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34534 Issued in IA

Practice address

2979 Victoria St
Bettendorf, IA 52722-2784

Phone

(563) 332-8528

Fax

(563) 332-9331

NPI assigned

Jul 23, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821010711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2979 VICTORIA ST",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527222784",
            "telephone_number": "563-332-8528",
            "fax_number": "563-332-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2979 VICTORIA ST",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527222784",
            "telephone_number": "563-332-8528",
            "fax_number": "563-332-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUWOLF",
        "first_name": "ANDREW",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "34534",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01036432A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cindy J Ramsay, CNM
• Zachary Dennis Rasmussen, MD
• Ananda R Reddy, M.D.
• Karriann Reising, PHARM.D.
• Renal Dialysis Associates of Davenport,P.C.
• Beth R Repp, MD
• Daniel J Repp, MD

• Family Medicine Physician in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.