NPIMap

Organization Active NPI

Central Iowa OB/GYN Specialists of Des Moines, PLC

  • Obstetrics & Gynecology Physician
  • West Des Moines, IA
National Provider Identifier
1124129804
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
CENTRAL IOWA OB/GYN SPECIALISTS OF DES MOINES, PLC
Practice address
2501 Westown Pkwy
Suite 1101
West Des Moines, IA 50266-1427
Phone
(515) 267-8300
Fax
(515) 267-8872
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Mrs. Christine G Hollister
Title
Administrator
Phone
(515) 267-8300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X IA Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

2501 Westown Pkwy
Suite 1101
West Des Moines, IA 50266-1427

Mailing address

2501 Westown Pkwy Ste 1101
West Des Moines, IA 50266-1438
Phone (151) 526-7830

Other identifiers 2

IdentifierTypeStateIssuer
0422089MedicaidIA
99971OtherIAIOWA BC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040429001244 IA Part B Supplier - Clinic/Group Practice 1658368675 Receives reassigned benefits from 8 practitioners
Practice locations: West Des Moines, IA

National Provider Directory

National Provider Directory

Locations

1325 SW Oralabor Rd
Ste 220
Ankeny, IA 50023
Phone (515) 720-4377

2501 Westown Pkwy
Ste 1101
West Des Moines, IA 50266
Phone (515) 267-8300

Practitioners 10

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1124129804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 WESTOWN PKWY STE 1101",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661438",
            "telephone_number": "151-526-7830",
            "fax_number": "515-720-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 WESTOWN PKWY",
            "address_2": "SUITE 1101",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661427",
            "telephone_number": "515-267-8300",
            "fax_number": "515-267-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL IOWA OB/GYN SPECIALISTS OF DES MOINES, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "HOLLISTER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "515-267-8300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0422089",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA BC/BS",
            "identifier": "99971",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.