DR. TANA FRIESTH PERRY M.D. NPI 1942696901

NPI Information

NPI: 1942696901
Provider Name: DR. TANA FRIESTH PERRY, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 201 RIDGE ST STE 312
COUNCIL BLUFFS, IA
ZIP 51503
Phone: (712) 396-7885

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NPI Details

DR. Tana Friesth Perry, M.D. is an obstetrics gynecology in Council Bluffs, IA with 10 years of experience. 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. DR. Tana Friesth Perry, M.D. NPI is 1942696901. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year:2015

The provider's business location address is:

201 RIDGE ST STE 312
COUNCIL BLUFFS, IA
ZIP 51503-643
Phone: (712) 396-7885
Fax: (712) 396-7885

The NPI 1942696901 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/7/2015 and was last updated on 8/20/2019.

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 Code	Taxonomy Clasification	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology	94-08716	KANSAS	No
2	390200000X	Student in an Organized Health Care Education/Training Program			No
3	207V00000X	Obstetrics & Gynecology	MD-46134	IOWA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	10026211300	MEDICAID	NEBRASKA
2	1942696901	MEDICAID	IOWA
3	47068731777	MEDICAID	NEBRASKA

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: 3/30/2025

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