Organization Active NPI

Mt. Pleasant Center for Women'S Health, PC

  • Gynecology Physician
  • Mt Pleasant, IA
National Provider Identifier
1811108558
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
35834 Issued in IA
Legal business name
MT. PLEASANT CENTER FOR WOMEN'S HEALTH, PC
Practice address
407 S White St
Suite 104
Mt Pleasant, IA 52641-2262
Phone
(319) 385-6765
Fax
(319) 385-6766
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2007

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

Authorized official

Name
Dr. Mary Anna Woodard, M.D.
Title
President
Phone
(319) 385-6765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 35834 IA Primary

Addresses

Primary practice location

407 S White St
Suite 104
Mt Pleasant, IA 52641-2262

Mailing address

407 S White St
Suite 104
Mt Pleasant, IA 52641-2262
Phone (319) 385-6765

Other identifiers 2

IdentifierTypeStateIssuer
0456160MedicaidIA
1962515890OtherIAINDIVIDUAL NPI - TYPE 1

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1811108558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 S WHITE ST",
            "address_2": "SUITE 104",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526412262",
            "telephone_number": "319-385-6765",
            "fax_number": "319-385-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S WHITE ST",
            "address_2": "SUITE 104",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526412262",
            "telephone_number": "319-385-6765",
            "fax_number": "319-385-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. PLEASANT CENTER FOR WOMEN'S HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "MARY ANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-385-6765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IA",
            "license": "35834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0456160",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI - TYPE 1",
            "identifier": "1962515890",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.