State Street Women'S Health Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

32230 Issued in IA

Legal business name

STATE STREET WOMEN'S HEALTH CENTER

Practice address

1004 State St
Bettendorf, IA 52722-4856

Phone

(563) 359-5535

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Teresa L Coon, MD

Title

MD

Phone

(563) 359-5535

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801941349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 STATE ST",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224856",
            "telephone_number": "563-359-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 STATE ST",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224856",
            "telephone_number": "563-359-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE STREET WOMEN'S HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "563-359-5535",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "32230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF IOWA",
            "identifier": "05569",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy M Spellerberg Massie, LISW
• Spinal Destination PLC (Holli Martin DC)
• Stephanie Spinler Spinler, CD
• John David Stader, D.C.
• Kate Stamer, ARNP
• State University of Iowa (UI Health Care Urgent Care Bettendorf)
• State University of Iowa (University of Iowa Health Care-Quad Cities)
• David B Staub, M.D.
• Julie Stecher, M.D.
• Rebecca Sue Stein, M.D.

• Family Medicine Physician in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.