Individual provider Active NPI

Lourdes A Marquez, MD

  • Obstetrics & Gynecology Physician
  • Fort Madison, IA
National Provider Identifier
1437124765
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
21053 Issued in IA
Practice address
5409 Ave O
Ste 120
Ft Madison, IA 52627
Phone
(319) 372-7992
Fax
(319) 372-9641
NPI assigned
Feb 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 21053 IA Primary

Addresses

Primary practice location

5409 Ave O
Ste 120
Ft Madison, IA 52627

Mailing address

5409 Ave O
Ste 120
Ft Madison, IA 52627
Phone (319) 372-7992

Other identifiers 1

IdentifierTypeStateIssuer
0139840MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21053IAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lourdes a Marquez and Cristina Andia Rabo PTR Obstetrics & Gynecology CurrentSince Aug 1, 1977 Accepting new patients

Locations

5409 Avenue O
Ste 120
Fort Madison, IA 52627
Phone (319) 372-7992

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1437124765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 AVE O",
            "address_2": "STE 120",
            "city": "FT MADISON",
            "state": "IA",
            "postal_code": "52627",
            "telephone_number": "319-372-7992",
            "fax_number": "319-372-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 AVE O",
            "address_2": "STE 120",
            "city": "FT MADISON",
            "state": "IA",
            "postal_code": "52627",
            "telephone_number": "319-372-7992",
            "fax_number": "319-372-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "LOURDES",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "21053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0139840",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Madison, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.