Basic Information
| Provider Information | |||||||||
| NPI: | 1356347793 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NEWKIRK | ||||||||
| FirstName: | MARGARET | ||||||||
| MiddleName: | E | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | ARNP | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | HUNTER | ||||||||
| OtherFirstName: | MARGARET | ||||||||
| OtherMiddleName: | E | ||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | |||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 1820 W 3RD ST | ||||||||
| Address2: | |||||||||
| City: | DAVENPORT | ||||||||
| State: | IA | ||||||||
| PostalCode: | 528021812 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5633261661 | ||||||||
| FaxNumber: | 5633261901 | ||||||||
| Practice Location | |||||||||
| Address1: | 1820 W 3RD ST | ||||||||
| Address2: | |||||||||
| City: | DAVENPORT | ||||||||
| State: | IA | ||||||||
| PostalCode: | 528021812 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5633261661 | ||||||||
| FaxNumber: | 5633261901 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/21/2005 | ||||||||
| LastUpdateDate: | 06/17/2010 | ||||||||
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| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | F | ||||||||
| AuthorizedOfficialLastName: | |||||||||
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| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | |||||||||
| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | Y | ||||||||
| IsOrganizationSubpart: | |||||||||
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| AuthorizedOfficialNameSuffix: | |||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LW0102X | F077967 | IA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Women's Health |
ID Information
| ID | Type | State | Issuer | Description | 29920 | 01 | WELLMARK BC/BS | OTHER | 64912 | 01 | IOWA HEALTH SOLUTIONS | OTHER | 066649 | 01 | HEALTH ALLIANCE | OTHER | 4796890013 | 01 | DMERC | OTHER | IA0147 | 01 | JOHN DEERE HEALTH PLAN | OTHER | 500018807 | 01 | RAILROAD MEDICARE | OTHER | 0422832 | 05 | IA | MEDICAID |