MEDICARE: DR. STEPHEN C RASMUS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	22893	IA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	130005147	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	A64003	OTHER	JOHN DEERE HEALTHCARE
2	21900	OTHER	WELLMARK
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1764535	OTHER	UNITED HEALTHCARE

General Provider Information

NPI Number	:	1932186962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN C RASMUS M.D.

Provider Business Mailing Address
First Line	:	1351 W CENTRAL PARK AVE
Second Line	:	SUITE 3300
City	:	DAVENPORT
State	:	IA
Zip	:	52804-1889
Country	:	US
Telephone Number	:	563-383-2667
Fax Number	:	563-383-2672

Provider Business Practice Location Address
First Line	:	1351 W CENTRAL PARK AVE
Second Line	:	SUITE 3300
City	:	DAVENPORT
State	:	IA
Zip	:	52804-1889
Country	:	US
Telephone Number	:	563-383-2667
Fax Number	:	563-383-2672

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2005
Last Update Date	:	09/29/2011

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Directions to “ DR. STEPHEN C RASMUS M.D.” Practice Location

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