NPIMap

Organization Active NPI

Main Street Health Partners, P.C.

  • Family Medicine Physician
  • Davenport, IA
National Provider Identifier
1982393740
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MAIN STREET HEALTH PARTNERS, P.C.
Practice address
4620 E 53Rd St Ste 200
Davenport, IA 52807-3627
Phone
(563) 293-7700
NPI assigned
May 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Authorized official

Name
Barbara Smith
Title
Director of Operations
Phone
(615) 962-3405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4620 E 53Rd St Ste 200
Davenport, IA 52807-3627

Mailing address

900 Main St
Nashville, TN 37206-3610
Phone (615) 962-3405

Other names 1

  • Main Street Health Medical Partners-Iowa Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Main Street Health Medical Partners16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

4620 E 53rd St
Ste 200
Davenport, IA 52807
Phone (563) 213-5100

NPI Registry JSON

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1982393740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MAIN ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372063610",
            "telephone_number": "615-962-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 E 53RD ST STE 200",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073627",
            "telephone_number": "563-293-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET HEALTH PARTNERS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "615-962-3405"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Health Medical Partners-Iowa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 5, 2023; 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.