Active NPI
Obstetrics and Gynecology Specialists PC
- Obstetrics & Gynecology Physician
- Davenport, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- OBSTETRICS AND GYNECOLOGY SPECIALISTS PC
- Practice address
- 5350 Eastern Avenue
Davenport, IA 52807 - Phone
- (563) 355-1853
- Fax
- (563) 355-0327
- NPI assigned
- May 23, 2006
- Last updated
- Nov 15, 2017
- 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
- Jenie Marie Graham
- Title
- Credentialing
- Phone
- (563) 355-1853
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
5350 Eastern Avenue
Davenport, IA 52807
Mailing address
5350 Eastern Avenue
Davenport, IA 52807
Phone (563) 355-1853
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D0388094 | Obstetrics & Gynecology Specialists, PC | Provider-performed microscopy | Aug 31, 2026 |
| 16D2321716 | Obstetrics and Gynecology Specialists PC | Compliance | Oct 7, 2027 |
National Provider Directory
National Provider DirectoryLocations
4321 53rd Ave
Bettendorf, IA 52722
Phone (563) 421-5300
5350 Eastern Ave
Davenport, IA 52807
Phone (563) 355-1853
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1036
Practitioners & affiliated clinicians
Practitioners 40
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Davenport, IA
- NPI 1538110085
-
- Obstetrics & Gynecology Physician
- Davenport, IA
- NPI 1245868314
-
- Obstetrics & Gynecology Physician
- Iowa City, IA
- NPI 1003235490
-
- Obstetrics & Gynecology Physician
- Davenport, IA
- NPI 1780658229
-
- Obstetrics & Gynecology Physician
- Davenport, IA
- NPI 1467613091
-
- Obstetrics & Gynecology Physician
- Davenport, IA
- NPI 1265877591
-
- Obstetrics & Gynecology Physician
- Davenport, IA
- NPI 1922249887
-
- Physician Assistant
- Davenport, IA
- NPI 1760458178
-
- Advanced Practice Midwife
- Davenport, IA
- NPI 1306814108
-
- Midwife
- Davenport, IA
- NPI 1629950803
-
- Women's Health Nurse Practitioner
- Davenport, IA
- NPI 1679390868
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1510704000000",
"number": "1427003011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5350 EASTERN AVENUE",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "52807",
"telephone_number": "563-355-1853",
"fax_number": "563-355-0327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5350 EASTERN AVENUE",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "52807",
"telephone_number": "563-355-1853",
"fax_number": "563-355-0327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OBSTETRICS AND GYNECOLOGY SPECIALISTS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-23",
"last_updated": "2017-11-15",
"status": "A",
"authorized_official_last_name": "GRAHAM",
"authorized_official_first_name": "JENIE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "563-355-1853"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
- Aubrie Ann Elaine O'Haver
- Emily June Capecci O'Kane, M.S. CCC-SLP
- Ann K O'Klock, LCSW
- Stephanie O'Neill, B.S., D.C., DICCP
- Anne Oakes, LISW
- Occupational Health Centers of the Southwest P.a. (Concentra - City of Davenport Onsite)
- Occupational Health Centers of the Southwest PA (Concentra Medical Center)
- Oconnor Medical Supply Inc (See The Trainer - QC)
- Oculofacial Aesthetics, PLC
- Ann E Odonnell, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.