Active NPI
OB-GYN Specialists, P.C.
- Obstetrics & Gynecology Physician
- Waterloo, IA
National Provider Identifier
1326046079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- OB-GYN SPECIALISTS, P.C.
- Practice address
- 432 King Dr
Waterloo, IA 50702-5956 - Phone
- (319) 234-5764
- Fax
- (319) 234-1336
- NPI assigned
- Jul 7, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Douglas L. Stanford, M.D.
- Title
- Managing Partner
- Phone
- (319) 234-5764
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | IA | Primary |
Addresses
Primary practice location
432 King Dr
Waterloo, IA 50702-5956
Mailing address
432 King Dr
Waterloo, IA 50702-5956
Phone (319) 234-5764
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0184473 | Medicaid | IA | |
| CP8715 | Other | RAILROAD MEDICARE | |
| 26933 | Other | BC/BS GROUP NUMBER |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Waterloo, IA
- NPI 1598763286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228089600000",
"number": "1326046079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 KING DR",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507025956",
"telephone_number": "319-234-5764",
"fax_number": "319-234-1336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "432 KING DR",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507025956",
"telephone_number": "319-234-5764",
"fax_number": "319-234-1336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OB-GYN SPECIALISTS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-07",
"last_updated": "2008-12-01",
"status": "A",
"authorized_official_last_name": "STANFORD",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "319-234-5764",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "IA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0184473",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CP8715",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS GROUP NUMBER",
"identifier": "26933",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.