Active NPI
Cardiovascular Medicine PLLC
- Cardiovascular Disease Physician
- Davenport, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- CARDIOVASCULAR MEDICINE PLLC
- Practice address
- 1236 E. Rusholme Street
Suite 300
Davenport, IA 52803 - Phone
- (563) 324-2992
- Fax
- (563) 888-0499
- NPI assigned
- Jun 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edmund P Coyne, M.D.
- Title
- President
- Phone
- (563) 324-2992
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
1236 E. Rusholme Street
Suite 300
Davenport, IA 52803
Mailing address
1236 E. Rusholme Street
Suite 300
Davenport, IA 52803
Phone (563) 324-2992
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0247403 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040123001026 | IL | Part B Supplier - Clinic/Group Practice | 2264334721 |
Receives reassigned benefits from 48 practitioners Practice locations: Moline, IL; Silvis, IL; Geneseo, IL; Aledo, IL |
| O20040322001926 | IA | Part B Supplier - Clinic/Group Practice | 2264334721 |
Receives reassigned benefits from 54 practitioners Practice locations: Bettendorf, IA; Clinton, IA; Davenport, IA; Dubuque, IA; Maquoketa, IA; Muscatine, IA; West Burlington, IA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D0937332 | Cardiovascular Medicine PLLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
1236 E Rusholme St
Ste 300
Davenport, IA 52803
Phone (319) 324-2992
3801 Marquette St
Ste 305
Davenport, IA 52806
Phone (563) 386-8112
2104 Cedarwood Dr
Ste 200
Muscatine, IA 52761
Phone (563) 263-0515
1223 S Gear Ave
Ste 308
West Burlington, IA 52655
Phone (319) 753-6771
1504 7th St
Moline, IL 61265
Phone (309) 757-9000
1100 36th Ave
Moline, IL 61265
Phone (309) 743-6700
2525 24th St
Rock Island, IL 61201
Phone (309) 788-4590
855 Illini Dr
Ste 402
Silvis, IL 61282
Phone (309) 792-7600
Practitioners & affiliated clinicians
Practitioners 74
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Davenport, IA
- NPI 1114906138
Cardiovascular Disease, IA, IL
-
- Cardiovascular Disease Physician
- Davenport, IA
- NPI 1871687087
Cardiovascular Disease, IA, IL
-
- Interventional Cardiology Physician
- Davenport, IA
- NPI 1497080709
Cardiovascular Disease, IA, IL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641859200000",
"number": "1982632907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1236 E. RUSHOLME STREET",
"address_2": "SUITE 300",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "52803",
"telephone_number": "563-324-2992",
"fax_number": "563-888-0499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1236 E. RUSHOLME STREET",
"address_2": "SUITE 300",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "52803",
"telephone_number": "563-324-2992",
"fax_number": "563-888-0499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIOVASCULAR MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-29",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A",
"authorized_official_last_name": "COYNE",
"authorized_official_first_name": "EDMUND",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "563-324-2992",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0247403",
"state": "IA"
}
],
"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 Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.