Serenity Women'S Clinic

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

3794 Issued in IA

Legal business name

SERENITY WOMEN'S CLINIC

Practice address

1601 NW 114TH St
Suite 334
Clive, IA 50325-7007

Phone

(515) 225-7201

Fax

(515) 225-9213

NPI assigned

Jul 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell A Khan, D.O.

Title

Physican/Owner

Phone

(515) 783-4608

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1942597315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125305",
            "telephone_number": "515-237-3974",
            "fax_number": "515-883-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NW 114TH ST",
            "address_2": "SUITE 334",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503257007",
            "telephone_number": "515-225-7201",
            "fax_number": "515-225-9213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY WOMEN'S CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAN/OWNER",
        "authorized_official_telephone_number": "515-783-4608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "3794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashli Schultz, FNP-C
• Zola Flores Schultz, BCBA
• Lucas Schuster, TLMHC
• Jamie L Scott, OT
• Jacob Seely, PT, DPT
• Mary Settle, LMHC
• Mena Fayez Bassaly Sewiha, PHARMD
• Coburn Shank, MSPT
• Shaw Chiropractic and Sports Injury Center
• Abel Jonathan Shaw, D.C.

• Obstetrics & Gynecology Physician in Clive, IA
• Providers in Clive, 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 Oct 6, 2011; 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.