Active NPI
Karen M Kemp-Glock, DO
- Obstetrics & Gynecology Physician
- Clive, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 3249
- Practice address
- 12339 Stratford Dr
Clive, IA 50325-8148 - Phone
- (515) 263-9107
- Fax
- (515) 265-9888
- NPI assigned
- Jun 10, 2005
- Last updated
- Oct 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 3249 | IA | Primary |
Addresses
Primary practice location
12339 Stratford Dr
Clive, IA 50325-8148
Mailing address
12339 Stratford Dr
Clive, IA 50325-8148
Phone (515) 263-9107
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09743 | Other | IA | WELLMARK, ANKENY OFFICE |
| 0192682 | Medicaid | IA | |
| 06751 | Other | IA | WELLMARK BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1601 NW 114TH St
Clive, IA 50325-7036
1601 NW 114TH St
Clive, IA 50325-7046
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3249 | IA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinics, Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Mercy Clinics, Inc. | Current | Accepting new patients | |
| Mercy Clinics, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Obhg Arkansas West PA | Obstetrics & Gynecology | Current | Accepting new patients |
| Union Hospital Inc. | Current | Accepting new patients | |
| Obhg Arkansas, PA | Obstetrics & Gynecology | Current | Accepting new patients |
| Mercy Clinics, Inc. | Past | Accepting new patients | |
| Mercy Women's Health Services | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600
1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121
1601 NW 114th St
Ste 151
Des Moines, IA 50325
Phone (515) 222-7474
1601 NW 114th St
Ste 247
Des Moines, IA 50325
Phone (515) 222-7000
330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454
405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259
1660 60th St
#M
West Des Moines, IA 50266
Phone (515) 343-1000
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Interoperability endpoints
- kglock@unionhealth.cernerdirect.com
- kkempglock3949093@direct.trinity-health.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MercyOne Clive Family Medicine Clinic
- Primary Care Clinic/Center
- Clive, IA
- NPI 1487670923
-
- Obstetrics & Gynecology Physician
- Bentonville, AR
- NPI 1518421767
-
dba MercyOne Comfort Health Center for Women
- Family Medicine Physician
- Clive, IA
- NPI 1396286266
Obstetrics & Gynecology
-
dba MercyOne Des Moines OB Hospitalists
- Obstetrics & Gynecology Physician
- Des Moines, IA
- NPI 1508741505
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
-
dba MercyOne Clive Infectious Disease Care Clinic
- Endocrinology, Diabetes & Metabolism Physician
- Des Moines, IA
- NPI 1457691941
-
dba Trinity Health Medical Group Obstetrics and Gynecology Hackley
- Obstetrics & Gynecology Physician
- Muskegon, MI
- NPI 1467476143
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MercyOne West Des Moines Medical Center
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1538395975
-
dba MercyOne Des Moines Laboratory
- Clinical Medical Laboratory
- Des Moines, IA
- NPI 1104982743
Hospital
-
dba MercyOne Des Moines Medical Center
- General Acute Care Hospital
- Des Moines, IA
- NPI 1508964883
-
dba Mercy Medical Mammography Center
- Mammography Clinic/Center
- Des Moines, IA
- NPI 1477984367
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193788800000",
"number": "1285638734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12339 STRATFORD DR",
"city": "CLIVE",
"state": "IA",
"postal_code": "503258148",
"telephone_number": "515-263-9107",
"fax_number": "515-265-9888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12339 STRATFORD DR",
"city": "CLIVE",
"state": "IA",
"postal_code": "503258148",
"telephone_number": "515-263-9107",
"fax_number": "515-265-9888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMP-GLOCK",
"first_name": "KAREN",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-10",
"last_updated": "2007-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IA",
"license": "3249",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK, ANKENY OFFICE",
"identifier": "09743",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0192682",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BLUE SHIELD",
"identifier": "06751",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clive, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.