Tolosa OB GYN PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

32336 Issued in IA

Legal business name

TOLOSA OB GYN PC

Practice address

800 Mercy Dr
Suite 5
Council Bluffs, IA 51503-3128

Phone

(712) 388-2670

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Bobby Tolosa, MD, FACOG

Title

President

Phone

(712) 388-2670

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy L Ford, WHNP

  • Women's Health Nurse Practitioner
  • Council Bluffs, IA
  • NPI 1205858198

  Obstetrics & Gynecology

  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1790721603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MERCY DR",
            "address_2": "SUITE 5",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515033128",
            "telephone_number": "712-388-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MERCY DR",
            "address_2": "SUITE 5",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515033128",
            "telephone_number": "712-388-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOLOSA OB GYN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "TOLOSA",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-388-2670",
        "authorized_official_credential": "MD, FACOG"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "32336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0788521",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025323300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• John Robert Tracy, LCSW, LISW

• Obstetrics & Gynecology Physician in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Obstetrics & Gynecology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.