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FIFTH AVENUE OB GYN PC NPI 1477665776


NPI Information

NPI: 1477665776
Provider Name: FIFTH AVENUE OB GYN PC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
303 UNIVERSITY AVE
DES MOINES, IA
ZIP 50314
Phone: (515) 243-4241
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FIFTH AVENUE OB GYN PC is an obstetrics gynecology in Des Moines, IA. The provider is 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. FIFTH AVENUE OB GYN PC NPI is 1477665776. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

303 UNIVERSITY AVE
DES MOINES, IA
ZIP 50314-126
Phone: (515) 243-4241
Fax: (515) 243-0209

The provider's authorized official is Frederic E Sager .
The authorized official title is Ceo and has the following contact phone number (515) 243-4241.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 10/2/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LW0102XNurse PractitionerWomen's HealthF060593IOWANo
2363LW0102XNurse PractitionerWomen's HealthF070928IOWANo
3207V00000XObstetrics & Gynecology01747IOWAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A14386MEDICARE UPINIOWA
20112987MEDICAIDIOWA
3I9725MEDICARE PINIOWA

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: 4/28/2024

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