NPIMap

Organization Active NPI

MD West One, PC

  • Neurological Surgery Physician
  • Shenandoah, IA
National Provider Identifier
1154621282
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
MD WEST ONE, PC
Practice address
1 Jack Foster Drive
Shenandoah, IA 51601
Phone
(712) 246-7240
NPI assigned
Oct 22, 2010
Last updated
Nov 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Authorized official

Name
Lori Hill
Title
Operations Manager
Phone
(402) 398-9243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

1 Jack Foster Drive
Shenandoah, IA 51601

Mailing address

8005 Farnam Dr
Suite 305
Omaha, NE 68114
Phone (402) 398-9243

National Provider Directory

National Provider Directory
Tax ID family
Midwest Neurosurgery9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1154621282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8005 FARNAM DR",
            "address_2": "SUITE 305",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68114",
            "telephone_number": "402-398-9243",
            "fax_number": "402-398-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JACK FOSTER DRIVE",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "51601",
            "telephone_number": "712-246-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD WEST ONE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "402-398-9243"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.