GREAT RIVER MEDICAL GROUP – Internal Medicine Physician, NPI 1750360251

GREAT RIVER MEDICAL GROUP is a healthcare provider. based in Davenport, Iowa. specializing in Internal Medicine Physician. The organization holds a License No. 03155 (IA). The NPI Number for GREAT RIVER MEDICAL GROUP is 1750360251

Main info

Organization
Name
GREAT RIVER MEDICAL GROUP
NPI
1750360251
Phone
(563) 441-9100
Address
4626 PROGRESS DR
Authorized Official
LISA A KOPP GENERAL PTR DO
Enumeration Date
12 January 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for GREAT RIVER MEDICAL GROUP

  • Progress Drive, Davenport, Scott County, Iowa, 52807, United States

    DAVENPORT, IA 528073483

    Phone: (563) 441-9100

    Fax: (563) 441-9101

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 52807)

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Reviews

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Frequently asked questions

What NPI should I save for GREAT RIVER MEDICAL GROUP?
Save NPI 1750360251 if you need a stable reference for GREAT RIVER MEDICAL GROUP.
Does this profile mean GREAT RIVER MEDICAL GROUP is currently active?
Yes — GREAT RIVER MEDICAL GROUP appears active in the national provider directory.
What kind of provider is GREAT RIVER MEDICAL GROUP?
The page reflects Internal Medicine Physician for GREAT RIVER MEDICAL GROUP. Clinical services aligned with this taxonomy classification.
Where does public data place GREAT RIVER MEDICAL GROUP?
The snapshot lists Davenport, Iowa for GREAT RIVER MEDICAL GROUP; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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