IOWA PLASTIC SURGERY CENTER LC
NPI 1215916184
Clinic/Center - Ambulatory Surgical in Davenport, IA

Q: What is Iowa Plastic Surgery Center Lc's NPI number?

The NPI number for Iowa Plastic Surgery Center Lc is 1215916184. It was assigned to this organization in the NPPES registry on January 10, 2006.

Q: What is Iowa Plastic Surgery Center Lc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since January 10, 2006

4334 E 53RD ST, DAVENPORT, IA 52807(563) 322-8877(563) 322-8375 Get Directions Write a Review

NPPES record last updated: February 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Iowa Plastic Surgery Center Lc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IOWA PLASTIC SURGERY CENTER LC (NPI 1215916184) is a healthcare organization registered as an ambulatory surgical in Davenport, Iowa and active in the NPI registry since January 2006. The organization lists Benjamin Adam Vanraalte, Owner, as its authorized official.

NPPES Registry Identity

NPI1215916184

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameIOWA PLASTIC SURGERY CENTER LC

Location Address4334 E 53RD STDavenport, IA 52807-3039

Mailing Address4334 E 53rd StDavenport, IA 52807-3039 · (563) 322-8877 · Fax (563) 322-8375

Phone(563) 322-8877

Fax(563) 322-8375

Organization SubpartNo

Authorized OfficialBenjamin Adam VanraalteOwner · (563) 322-8877

Enumeration DateJanuary 10, 2006

Last NPPES UpdateFebruary 15, 2010

✔ NPI 1215916184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in IA · 29526

4334 E 53RD ST, Davenport, IA 52807

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Other Identifiers 3

MedicaidIA0113241IA

Medicare UPIND86963IA

Medicare ID-Type UnspecifiedIA49704IA

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL YANG MD

Plastic Surgery

4334 E 53RD ST
DAVENPORT, IA 52807

Scott County (563) 322-8877

DR. BENJAMIN VANRAALTE M.D.

Specialist

4334 E 53RD ST
DAVENPORT, IA 52807

Scott County (563) 322-8877

IOWA PLASTIC SURGERY, PC

Specialist

4334 E 53RD ST
DAVENPORT, IA 52807

Scott County (563) 322-8877

HANYANG LIU

Plastic Surgery

4334 E 53RD ST
DAVENPORT, IA 52807

Scott County (563) 421-9000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Iowa Plastic Surgery Center Lc's NPI number?

The NPI number for Iowa Plastic Surgery Center Lc is 1215916184. It was assigned to this organization in the NPPES registry on January 10, 2006.

Where is Iowa Plastic Surgery Center Lc located?

Iowa Plastic Surgery Center Lc is located at 4334 E 53rd St, Davenport, IA 52807. The listed phone number is (563) 322-8877.

What is Iowa Plastic Surgery Center Lc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Iowa Plastic Surgery Center Lc was last updated on February 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.