Jennifer G Gist in Bettendorf - Pediatrics

Jennifer G Gist - NPI 1306841168

Jennifer G Gist is a Pediatrics in Bettendorf, Iowa. Jennifer G Gist practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jennifer G Gist is 1306841168. The last update date is 2007-07-09.

Jennifer G Gist's current location address is 865 Lincoln Rd, Bettendorf, Iowa. You can contact this provider via phone number 5633559191 and fax number 5633553419. The mailing address for Jennifer G Gist is 865 Lincoln Rd, Bettendorf, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer G Gist
Address 865 Lincoln Rd, Bettendorf, Iowa
Phone Number 5633559191
Fax Number 5633553419
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1306841168
Provider Enumeration Date 2005-06-17
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 865 Lincoln Rd
City Bettendorf
State Iowa (IA)
Post Code 5272241590
Phone Number 5633559191
Fax Number 5633553419

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 33452
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
IA0132 JOHN DEERE HEALTH PLAN
59729 HEALTH ALLIANCE
152589 IOWA HEALTH SOLUTIONS
29717 IA WELLMARK BC/BS
1207886 IA --

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FAQs about Jennifer G Gist

What is the unique identifier code issued to Jennifer G Gist by the Centers for Medicare & Medicaid Services?

The Jennifer G Gist has been assigned the NPI (National Provider Identifier) 1306841168. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Jennifer G Gist's facilities are situated?

The facilities of Jennifer G Gist are physically located at the following address: 865 Lincoln Rd, Bettendorf, IA, 5272241590.

What is Jennifer G Gist's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jennifer G Gist's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.

On what date did the Jennifer G Gist receive its 1306841168 assignment from the Centers for Medicare & Medicaid Services?

The Jennifer G Gist was assigned its 1306841168 by the Centers for Medicare & Medicaid Services on 2005-06-17.

As of what date were the Jennifer G Gist's details last updated?

The information pertaining to the Jennifer G Gist, including its address, specialty, and other details, was most recently updated on 2007-07-09.

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