Jason Robert Ryckeghem

Physician Assistant · Bettendorf, IA

Individual Active NPI

NPI number 1588090476

Practice location

5250 Competition Dr Ste 100
Bettendorf, IA 52722-8837
Phone
(563) 322-0971
Fax
(563) 324-0615

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NPI record

NPI
1588090476
Entity type
Individual (Type 1)
Enumeration date
September 24, 2013
Last updated
March 5, 2026
Certified
March 5, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 074029 IA
Physician Assistant 363A00000X 085.004669 IL

About Jason Ryckeghem

Jason Robert Ryckeghem is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 5250 Competition Dr Ste 100, Bettendorf, IA 52722-8837. The NPI number 1588090476 was assigned on September 24, 2013 and the record was last updated on March 5, 2026.

Jason Ryckeghem lists 2 licenses in the registry: #074029 (IA) for Physician Assistant; #085.004669 (IL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jason Robert Ryckeghem?

The NPI number is 1588090476.

What is the phone number of Jason Ryckeghem?

The phone number listed for the practice location is (563) 322-0971.

Where is Jason Ryckeghem located?

5250 Competition Dr Ste 100, Bettendorf, IA 52722-8837.

What is the taxonomy code for Jason Ryckeghem?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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