Bluffs OBGYN and Incontinence Ctr

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

BLUFFS OBGYN AND INCONTINENCE CTR

Practice address

300 W Broadway
Suite 111
Council Bluffs, IA 51503-9066

Phone

(712) 256-8080

Fax

(712) 256-8082

NPI assigned

May 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carol L McIntyre, D.O.

Title

D.O./President

Phone

(712) 256-8080

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Ruth Hynek, APRN

  • Nurse Practitioner
  • Council Bluffs, IA
  • NPI 1366770489
  NPD (past)
• Elizabeth Anne Phillippi, ARNP

  • Women's Health Nurse Practitioner
  • Council Bluffs, IA
  • NPI 1770695074
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1003868639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W BROADWAY",
            "address_2": "SUITE 111",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515039066",
            "telephone_number": "712-256-8080",
            "fax_number": "712-256-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W BROADWAY",
            "address_2": "SUITE 111",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515039066",
            "telephone_number": "712-256-8080",
            "fax_number": "712-256-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUFFS OBGYN AND INCONTINENCE CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "D.O./PRESIDENT",
        "authorized_official_telephone_number": "712-256-8080",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003868639",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bluejay Family Dental PC
• Bluffs Family Chiropractic, P.C.
• Bluffs Family Health Care PC
• Bluffs Foot Clinic, Inc.
• Bluffs Imaging Associates
• Bluffs Pain Management LLC
• Bluffs Pain Management LLC
• Bluffs Taxi & Courier Inc
• Joan Marie Blum, A.R.N.P.
• Karen M Bober, D.D.S.

• All providers in Council Bluffs, IA
• Obstetrics & Gynecology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.