Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Waterford Family Medicine PC

Organization Family Medicine Physician · NPI 1942470828

Waterford Family Medicine PC provides Family Medicine Physician services in Davenport, Iowa. Licensed in Iowa. Registered with an NPI since 2008.

Licensed in
IA
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1820 E 54th St Ste B
Davenport, IA 52807-2797 Not confirmed with CMS for 18 years — call before visiting
Phone: (563) 355-9990
Fax: (563) 355-9999
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 1093794968 (IA)

Record details

NPI number1942470828
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tammy Wells — Owner · (563) 355-9990
NPI enumeratedMarch 6, 2008
Last updated in NPPESMarch 6, 2008
Mailing address1820 E 54th St, Ste B, Davenport, IA 52807-2797

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