1356347793 NPI number — MARGARET E NEWKIRK ARNP

Table of content: MARGARET E NEWKIRK ARNP (NPI 1356347793)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356347793 NPI number — MARGARET E NEWKIRK ARNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NEWKIRK
Provider First Name:
MARGARET
Provider Middle Name:
E
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
ARNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HUNTER
Provider Other First Name:
MARGARET
Provider Other Middle Name:
E
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1356347793
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/17/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1820 W 3RD ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DAVENPORT
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
52802-1812
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
563-326-1661
Provider Business Mailing Address Fax Number:
563-326-1901

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1820 W 3RD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DAVENPORT
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52802-1812
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
563-326-1661
Provider Business Practice Location Address Fax Number:
563-326-1901
Provider Enumeration Date:
06/21/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LW0102X , with the licence number:  F077967 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 29920 . This is a "WELLMARK BC/BS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 64912 . This is a "IOWA HEALTH SOLUTIONS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 066649 . This is a "HEALTH ALLIANCE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4796890013 . This is a "DMERC" identifier . This identifiers is of the category "OTHER".
  • Identifier: IA0147 . This is a "JOHN DEERE HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 500018807 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0422832 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".




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