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GREAT RIVER MEDICAL GROUP
NPI 1750360251
Internal Medicine in Davenport, IA

Active since January 12, 2006
4626 PROGRESS DR, DAVENPORT, IA 52807(563) 441-9100(563) 441-9101 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Great River Medical Group NPPES

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

GREAT RIVER MEDICAL GROUP (NPI 1750360251) is a healthcare organization registered as an internal medicine in Davenport, Iowa and active in the NPI registry since January 2006. The organization lists Lisa A Kopp, General Ptr, as its authorized official.

NPPES Registry Identity

NPI1750360251
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGREAT RIVER MEDICAL GROUP
Location Address4626 PROGRESS DRDavenport, IA 52807-3483
Mailing Address4626 Progress DrDavenport, IA 52807-3483 · (563) 441-9100 · Fax (563) 441-9101
Phone(563) 441-9100
Fax(563) 441-9101
Organization SubpartNo
Authorized OfficialLisa A KoppGeneral Ptr · (563) 441-9100
Enumeration DateJanuary 12, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1750360251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IA · 03155
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4626 PROGRESS DR, Davenport, IA 52807
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

DR. RENEE DIANE LASS DO
Family Medicine
4626 PROGRESS DR, SUITE B
DAVENPORT, IA 52807
Scott County (563) 359-3736
RUPA BONTU MD
Internal Medicine
4626 PROGRESS DR
DAVENPORT, IA 52807
Scott County (563) 441-9100
RADHIKA KOLLA MD
Internal Medicine
4626 PROGRESS DR
DAVENPORT, IA 52807
Scott County (563) 441-9100
LISA A KOPP DO
Internal Medicine
4626 PROGRESS DR, SUITE C
DAVENPORT, IA 52807
Scott County (563) 441-9100
DR. THOMAS JOHN SNYDER DO
Internal Medicine
4626 PROGRESS DR, SUITE A
DAVENPORT, IA 52807
Scott County (563) 386-0850

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 Great River Medical Group's NPI number?

The NPI number for Great River Medical Group is 1750360251. It was assigned to this organization in the NPPES registry on January 12, 2006.

Where is Great River Medical Group located?

Great River Medical Group is located at 4626 Progress Dr, Davenport, IA 52807. The listed phone number is (563) 441-9100.

What is Great River Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Great River Medical Group was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.