Organization Active NPI

Neurology Consultants PC

  • Neurology Physician
  • Davenport, IA
National Provider Identifier
1861461436
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGY CONSULTANTS PC
Practice address
4700 E 56TH St
Suite 100
Davenport, IA 52807-2903
Phone
(563) 383-2667
Fax
(563) 383-2672
NPI assigned
Mar 16, 2006
Last updated
Dec 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Authorized official

Name
Mrs. Jerri E Sharp
Title
Office Manager
Phone
(563) 383-2667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

4700 E 56TH St
Suite 100
Davenport, IA 52807-2903

Mailing address

4700 E 56TH St
Suite 100
Davenport, IA 52807-2903
Phone (563) 383-2667

Other identifiers 3

IdentifierTypeStateIssuer
21901OtherWELLMARK BCBS
0219014MedicaidIA
CP8140OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1351 W Central Park Ave
#330
Davenport, IA 52804
Phone (319) 383-2575

1351 W Central Park Ave
Ste 3300
Davenport, IA 52804
Phone (563) 383-2667

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

465 Avenue of the Cities
East Moline, IL 61244
Phone (309) 779-3490

4360 7th St
Moline, IL 61265
Phone (309) 281-3520

1414 10th St
Stop 3
Silvis, IL 61282
Phone (309) 792-6380

855 Hospital Rd
Ste 202
Silvis, IL 61282
Phone (309) 792-4980

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1861461436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 E 56TH ST",
            "address_2": "SUITE 100",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072903",
            "telephone_number": "563-383-2667",
            "fax_number": "563-383-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 E 56TH ST",
            "address_2": "SUITE 100",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072903",
            "telephone_number": "563-383-2667",
            "fax_number": "563-383-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "JERRI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "563-383-2667",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "21901",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0219014",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CP8140",
            "state": null
        }
    ],
    "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 Dec 12, 2016; 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.