MD West One, PC

Organization Active NPI Neurological Surgery Physician · Shenandoah, IA

NPI 1154621282 · NPPES record last updated Nov 21, 2019

Key facts

NPI
1154621282
Entity type
Organization (NPI type 2)
Primary specialty
Neurological Surgery Physician 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
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 8

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

National Provider Directory

Tax ID family
Julie R Walsh PA (9 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207T00000X Yes

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

Other providers in Shenandoah, IA

All providers in Shenandoah, IA · Neurological Surgery Physician in Iowa

Sources for this page

Verify at the official NPI Registry.