THOMAS G DRABEK PA-C NPI 1639157399

NPI Information

NPI: 1639157399
Provider Name: THOMAS G DRABEK, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
520 VALLEY VIEW DR
MOLINE, IL
ZIP 61265
Phone: (309) 762-3621
Get Directions

Thomas G Drabek, PA-C is a surgical physician assistant in Moline, IL. Thomas G Drabek, PA-C NPI is 1639157399. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

520 VALLEY VIEW DR
MOLINE, IL
ZIP 61265-152
Phone: (309) 762-3621
Fax: (309) 762-3690

The enumeration date for this NPI number is 1/4/2006 and was last updated on 1/6/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	001420	IOWA	No
2	363AS0400X	Physician Assistant	Surgical	085000534	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	05706	OTHER		WELLMARK
2	228910	OTHER		MIDLANDS CHOICE
3	R18801	MEDICARE UPIN
4	970030240	OTHER		RR MEDICARE
5	K10320	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
6	93009	OTHER		WELLMARK
7	93005	OTHER		WELLMARK
8	I11576	MEDICARE ID-TYPE UNSPECIFIED	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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