Ottumwa Obstetrics and Gynecology, P.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

OTTUMWA OBSTETRICS AND GYNECOLOGY, P.C.

Practice address

1005 Pennsylvania
Suite 204
Ottumwa, IA 52501-2195

Phone

(641) 682-8761

Fax

(641) 682-2764

NPI assigned

Apr 4, 2006

Last updated

Jul 1, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ted Vincent Haas, MD

Title

President

Phone

(641) 682-8761

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1811959042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 PENNSYLVANIA",
            "address_2": "SUITE 204",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012195",
            "telephone_number": "641-682-8761",
            "fax_number": "641-682-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 PENNSYLVANIA",
            "address_2": "SUITE 204",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012195",
            "telephone_number": "641-682-8761",
            "fax_number": "641-682-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTUMWA OBSTETRICS AND GYNECOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "HAAS",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-682-8761",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0096800",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ottumwa Health Group LLC (Ottumwa Primary Care Clinic)
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• Ottumwa Mental Wellness Center
• Ottumwa Neurological Associates, PC
• Ottumwa Psychiatric Clinic PC
• Ottumwa Regional Health Center Inc (ORHC Clinics)
• Ottumwa Regional Health Center Inc (Emergency Practice Asso)
• Ottumwa Regional Health Center Inc
• Ottumwa Regional Health Center Inc (Ottumwa Regional Home Care)

• Obstetrics & Gynecology Physician in Ottumwa, IA
• Providers in Ottumwa, 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 Jul 1, 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.