Organization Active NPI

Marshalltown Obstetrics & Gynecology PC

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Marshalltown, IA
National Provider Identifier
1053499517
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
Legal business name
MARSHALLTOWN OBSTETRICS & GYNECOLOGY PC
Practice address
407 E Main Street
Marshalltown, IA 50158-1928
Phone
(641) 752-4681
Fax
(641) 752-6572
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Authorized official

Name
Mrs. Melissa Anne Meyeraan
Title
Office Manager
Phone
(641) 752-4681

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X IA
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VF0040X Primary

Addresses

Primary practice location

407 E Main Street
Marshalltown, IA 50158-1928

Mailing address

407 E Main Street
Marshalltown, IA 50158-1928
Phone (641) 752-4681

Other identifiers 1

IdentifierTypeStateIssuer
09816MedicaidIA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1053499517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E MAIN STREET",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501581928",
            "telephone_number": "641-752-4681",
            "fax_number": "641-752-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E MAIN STREET",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501581928",
            "telephone_number": "641-752-4681",
            "fax_number": "641-752-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALLTOWN OBSTETRICS & GYNECOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "MEYERAAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "641-752-4681",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09816",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshalltown, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.