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AEON GROUP HST
NPI 1457600157
Clinic/Center - Medical Specialty in Davenport, IA

Active since September 10, 2012
1801 E 54TH ST, SUITE 200, DAVENPORT, IA 52807(563) 386-1904(866) 899-2592 Get Directions Write a Review

NPPES record last updated: September 10, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Aeon Group Hst NPPES

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

AEON GROUP HST (NPI 1457600157) is a healthcare organization registered as a medical specialty in Davenport, Iowa and active in the NPI registry since September 2012. The organization lists Penny T Grunder, Project Manager, as its authorized official.

NPPES Registry Identity

NPI1457600157
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameAEON GROUP HST
Location Address1801 E 54TH ST, SUITE 200Davenport, IA 52807-7209
Mailing Address1801 E 54th St, Suite 200Davenport, IA 52807-7209 · (563) 386-1904 · Fax (866) 899-2592
Phone(563) 386-1904
Fax(866) 899-2592
Organization SubpartNo
Authorized OfficialPenny T GrunderProject Manager · (563) 386-1904
Enumeration DateSeptember 10, 2012
✔ NPI 1457600157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1801 E 54TH ST, Davenport, IA 52807
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Other Providers at the Same Location NPPES 8

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

DR. HUMPHREY WONG MD
Internal Medicine (Critical Care Medicine)
1801 E 54TH ST, STE 100
DAVENPORT, IA 52807
Scott County (563) 323-1229
J&S KELLY LLC
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1801 E 54TH ST, SUITE 200
DAVENPORT, IA 52807
Scott County (563) 386-1553
MS. PAULETTE ONG PA-C
Physician Assistant (Medical)
1801 E 54TH ST, STE 100
DAVENPORT, IA 52807
Scott County (563) 323-1229
MRS. EMILY CATHRYN MAIERS ARNP
Nurse Practitioner (Acute Care)
1801 E 54TH ST, SUITE 100
DAVENPORT, IA 52807
Scott County (563) 323-1229
DR. BRIAN GROSS MD
Internal Medicine (Critical Care Medicine)
1801 E 54TH ST, STE 100
DAVENPORT, IA 52807
Scott County (563) 323-1229
DR. ANAND KOMMURI MBBS,MD
Internal Medicine (Pulmonary Disease)
1801 E 54TH ST, STE 100
DAVENPORT, IA 52807
Scott County (536) 323-1229
MAUREEN GULATTO ARNP
Nurse Practitioner (Family)
1801 E 54TH ST, SUITE 100
DAVENPORT, IA 52807
Scott County (563) 421-0550
DARCEEN J MCCUTCHEON NP
Nurse Practitioner (Acute Care)
1801 E 54TH ST
DAVENPORT, IA 52807
Scott County (563) 421-0550

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 Aeon Group Hst's NPI number?

The NPI number for Aeon Group Hst is 1457600157. It was assigned to this organization in the NPPES registry on September 10, 2012.

Where is Aeon Group Hst located?

Aeon Group Hst is located at 1801 E 54th St Suite 200, Davenport, IA 52807. The listed phone number is (563) 386-1904.

What is Aeon Group Hst's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Aeon Group Hst was last updated on September 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.