Organization Active NPI

Generations Womens Health S C

  • Obstetrics & Gynecology Physician
  • Moline, IL
National Provider Identifier
1447433859
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036 100979 Issued in IL
Legal business name
GENERATIONS WOMENS HEALTH S C
Practice address
612 - 35TH Avenue
Moline, IL 61265
Phone
(309) 764-1133
Fax
(309) 764-6769
NPI assigned
Dec 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Authorized official

Name
Rhonda L. Freed, M.D.
Title
Provider/Co-Owner
Phone
(309) 764-1133

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 036 100979 IL Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 036 099463 IL
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X 042-005511 IL

Addresses

Primary practice location

612 - 35TH Avenue
Moline, IL 61265

Mailing address

612 - 35TH Avenue
Moline, IL 61265-6176
Phone (309) 764-1133

Other names 1

  • Arumugam S C Former legal business name

National Provider Directory

National Provider Directory

Locations

612 35th Ave
#B
Moline, IL 61265
Phone (309) 764-6768

612 35th Ave
Moline, IL 61265
Phone (309) 764-6767

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1447433859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 - 35TH AVENUE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656176",
            "telephone_number": "309-764-1133",
            "fax_number": "309-764-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 - 35TH AVENUE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "61265",
            "telephone_number": "309-764-1133",
            "fax_number": "309-764-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS WOMENS HEALTH S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "FREED",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PROVIDER/CO-OWNER",
        "authorized_official_telephone_number": "309-764-1133",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036 100979",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036 099463",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IL",
            "license": "042-005511",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arumugam S C",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.