OrganizationActive
Iowa Plastic Surgery Center Lc
NPI 1215916184 · Ambulatory Surgical Clinic/Center · Davenport, IA
Provider details
- NPI number
- 1215916184
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Benjamin Vanraalte, Owner(563) 322-8877
- License
- 29526 (IA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4334 E 53rd St
Davenport, IA 52807-3039
Phone: (563) 322-8877
Fax: (563) 322-8375
Street-level locationGet directions
Mailing address
4334 E 53rd St
Davenport, IA 52807-3039
Registry dates
- Enumerated
- 2006-01-10
- Last updated
- 2010-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.