Provider Demographics
NPI:1639517501
Name:QUAD CITIES FOOT & ANKLE ASSOCIATES PC
Entity Type:Organization
Organization Name:QUAD CITIES FOOT & ANKLE ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:W
Authorized Official - Last Name:SCHROEDER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:563-391-2889
Mailing Address - Street 1:2332 CUMBERLAND SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-3219
Mailing Address - Country:US
Mailing Address - Phone:563-391-2889
Mailing Address - Fax:563-391-2988
Practice Address - Street 1:2332 CUMBERLAND SQUARE DR
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-3219
Practice Address - Country:US
Practice Address - Phone:563-391-2889
Practice Address - Fax:563-391-2988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-12
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
6874520001Medicare NSC