Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Staudt

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1801586250

Jacob Staudt is a Family Practice in Davenport, Iowa. Qualified in 2023, 3 years ago. Registered with an NPI since 2023.

Years since qualifying
3
In the registry since
2023

Practice location Address checks out

1345 W Central Park Ave
Davenport, IA 52804-1844
Phone: (563) 421-4400
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1801586250
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 9, 2023
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023
Mailing address1345 W Central Park Ave, Davenport, IA 52804-1844

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Davenport