NPIMap

Organization Active NPI

Quad Cities Audiology Consultants, P.C.

Doing business as Audiology Consultants, P.C.

  • Audiologist
  • Davenport, IA
National Provider Identifier
1982624987
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
QUAD CITIES AUDIOLOGY CONSULTANTS, P.C.
Doing business as
Audiology Consultants, P.C.
Practice address
2215 E 52ND St
Suite 2
Davenport, IA 52807-2786
Phone
(563) 355-7712
Fax
(563) 359-1325
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Authorized official

Name
Heather A SandyNPI 1497731624
Title
VP
Phone
(563) 355-7712

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

2215 E 52ND St
Suite 2
Davenport, IA 52807-2786

Mailing address

2215 E. 52ND Street
Suite 2
Davenport, IA 52807
Phone (563) 355-7712

Other identifiers 1

IdentifierTypeStateIssuer
0236745MedicaidIA

Other names 1

  • Audiology Consultants, P.C. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040218000862 IA Part B Supplier - Clinic/Group Practice 1052206075 Receives reassigned benefits from 6 practitioners
Practice locations: Davenport, IA; Muscatine, IA
O20040505000747 IL Part B Supplier - Clinic/Group Practice 1052206075 Receives reassigned benefits from 6 practitioners
Practice locations: Geneseo, IL; Moline, IL

National Provider Directory

National Provider Directory

Locations

2215 E 52nd St
Ste 2
Davenport, IA 52807
Phone (563) 355-7712

2215 E 52nd St
Davenport, IA 52807

3426 N Port Dr
Ste 500
Muscatine, IA 52761
Phone (563) 264-9406

608 35th Ave
Moline, IL 61265
Phone (309) 277-3500

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1982624987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 E. 52ND STREET",
            "address_2": "SUITE 2",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "52807",
            "telephone_number": "563-355-7712",
            "fax_number": "563-359-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 E 52ND ST",
            "address_2": "SUITE 2",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072786",
            "telephone_number": "563-355-7712",
            "fax_number": "563-359-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAD CITIES AUDIOLOGY CONSULTANTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2024-07-12",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "SANDY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "563-355-7712"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0236745",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Audiology Consultants, P.C.",
            "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 Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.