Provider Demographics
NPI:1851578868
Name:RHEUMATOLOGY ASSOCIATES, PC
Entity Type:Organization
Organization Name:RHEUMATOLOGY ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:B
Authorized Official - Last Name:STAUB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:563-359-4440
Mailing Address - Street 1:3740 UTICA RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-1624
Mailing Address - Country:US
Mailing Address - Phone:563-359-4440
Mailing Address - Fax:563-359-4644
Practice Address - Street 1:3740 UTICA RIDGE RD
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-1624
Practice Address - Country:US
Practice Address - Phone:563-359-4440
Practice Address - Fax:563-359-4644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-22
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA27098207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA71670OtherBCBS IA
IA1255319422OtherSTAUB NPI #
IA0500347Medicaid
IA1407065006OtherPENMATCHA NPI
IA71670OtherBCBS IA
IA1407065006OtherPENMATCHA NPI