FIFTH AVENUE OB GYN PC (NPI# 1477665776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477665776 |
Entity Type | Organization |
Organization Name | FIFTH AVENUE OB GYN PC |
Practice Address |
303 University Ave Des Moines IA 50314-3126 |
Mailing Address |
2213 Grand Ave Des Moines IA 50312-5305 |
Practice Telephone | 5152434241 |
Practice Fax Number | 5152430209 |
Mailing Telephone | 5152373974 |
Mailing Fax Number | 5158832692 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2007-10-02 |
Authorized Official Name | FREDERIC E SAGER (CEO) |
Authorized Official Telephone | 5152434241 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
F060593 | IA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
F070928 | IA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 207V00000X | Obstetrics & Gynecology | 01747 | IA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0112987 | 05 |
Street Address |
303 UNIVERSITY AVE |
City | DES MOINES |
State | IA |
Zip Code | 50314-3126 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265424352 | Sherryl L Link | Nurse Practitioner | 303 University Ave, Des Moines, IA 50314-3126 | 2005-08-16 |
1821395815 | University Ob-gyn Plc | Nurse Practitioner | 303 University Ave, Des Moines, IA 50314-3126 | 2011-02-28 |
1699873836 | Matthew Curtis Brown | Obstetrics & Gynecology | 303 University Ave, Des Moines, IA 50314-3126 | 2006-09-20 |
1487608907 | Des Moines Ob Gyn LLP | Obstetrics & Gynecology | 303 University Ave, Des Moines, IA 50314-3126 | 2006-05-20 |
1326030412 | Sheri Lynn Roach | Nurse Practitioner | 303 University Ave, Des Moines, IA 50314-3126 | 2005-08-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982266979 | Dental Connections, Inc. | Dentist | 1111 9th Street, Suite 190, Des Moines, IA 50314 | 2019-07-01 |
1760910723 | Kelsey Taylor | Social Worker | 1761 Hickman Rd, Des Moines, IA 50314 | 2017-06-02 |
1184085672 | Allison J Robbins | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2016-03-11 |
1083081715 | Taylor Witzel | Specialist/Technologist | 450 Laurel Street, Des Moines, IA 50314 | 2015-08-28 |
1376893933 | Caring Hearts LLC | In Home Supportive Care | 1620 Pleasant, #245, Des Moines, IA 50314 | 2012-09-11 |
1104117522 | Akinbode Solomon Egbelakin | Pediatrics | 1111 6th Ave # Main3, Des Moines, IA 50314 | 2011-04-20 |
1447488325 | Abdelaziz Elhaddad | Internal Medicine | 95 University Avenue, Suite 1, Des Moines, IA 50314 | 2009-06-30 |
1356584080 | Tara Michelle Graff | Internal Medicine | 411 Laurel Street Suite A300, Des Moines, IA 50314 | 2009-04-10 |
1700068517 | Planned Parenthood of The Heartland | Family Medicine | 123 Clark Street, Des Moines, IA 50314 | 2007-12-04 |
1790903235 | Christy J. Meyer | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2007-04-22 |
Find all providers in zip 50314 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932139151 | Obstetrical Gynecological Associates of Des Moines Plc | Obstetrics & Gynecology | 330 Laurel St Ste 1100, Des Moines, IA 50314-3044 | 2006-07-04 |
1720020654 | Elaine Yi-lien Chang | Obstetrics & Gynecology | 22506 Marine View Dr S, Suite 101, Des Moines, WA 98198-6906 | 2006-06-12 |
1255302550 | Linda D Railsback | Obstetrics & Gynecology | 10534 New York Avenue, Des Moines, IA 50322-3775 | 2006-01-27 |
1104171743 | Caroline Boehnke | Obstetrics & Gynecology | 330 Laurel St Ste 1100, Des Moines, IA 50314-3044 | 2012-07-19 |
1023339728 | Lindsey Lea Jenkins | Obstetrics & Gynecology | 330 Laurel St Ste 1100, Des Moines, IA 50314-3044 | 2010-06-16 |
1356501340 | Tharwat Stewart Fouad Boulis | Obstetrics & Gynecology | 1440 Pleasant St, Suite 1, Des Moines, IA 50314-1728 | 2008-06-12 |
1942488143 | Central Iowa Hospital Corporation | Obstetrics & Gynecology | 1301 Pennsylvania Ave, Des Moines, IA 50316-2350 | 2008-02-11 |
1063609758 | Therese Hong Tran | Obstetrics & Gynecology | 1221 Pleasant St, Ste 400, Des Moines, IA 50309 | 2007-09-26 |
1023202769 | Carl L. Christie | Obstetrics & Gynecology | 411 Laurel Street, Suite 3300, Des Moines, IA 50314-3027 | 2007-09-05 |
1841404126 | Lisa Vigue | Obstetrics & Gynecology | 330 Laurel St Ste 1100, Des Moines, IA 50314-3044 | 2007-05-09 |
Find all providers in DES MOINES |
City | DES MOINES |
Zip Code | 50314 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.