Organization Active NPI

OB-GYN Specialists, P.C.

  • Obstetrics & Gynecology Physician
  • Waterloo, IA
National Provider Identifier
1326046079
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
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

Updated by the provider on Dec 1, 2008

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0184473MedicaidIA
CP8715OtherRAILROAD MEDICARE
26933OtherBC/BS GROUP NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.