MS. GWENDOLINE FANG (NPI# 1396062311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396062311 |
| Entity Type | Individual |
| Full Name | MS. GWENDOLINE FANG |
| Credential | M.D |
| Practice Address |
1015 S. Hackett Road Suite 200 Department of Ob/gyn Waterloo IA 50701 |
| Mailing Address |
1015 S Hackett Rd Ste 200 Department of Ob/gyn Waterloo IA 50701-3500 |
| Practice Telephone | 3192665491 |
| Mailing Telephone | 3192665491 |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2014-07-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
MD-41889 | IA | Allopathic & Osteopathic Physicians |
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
MD-41889 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
1015 S. HACKETT ROAD SUITE 200 DEPARTMENT OF OB/GYN |
| City | WATERLOO |
| State | IA |
| Zip Code | 50701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757586 | Shawna Harvey | Optometrist | 999 Home Plz Ste 100, Waterloo, IA 50701 | 2018-04-16 |
| 1831693290 | Blue Gregory Boyer | Counselor | 3362 University Ave., Waterloo, IA 50701 | 2018-03-21 |
| 1518460666 | Tom Taylor | Specialist | 974 Home Plaza, Waterloo, IA 50701 | 2018-03-15 |
| 1194247551 | Homelink Sanford | Durable Medical Equipment & Medical Supplies | 1111 W San Marnan Drive, Waterloo, IA 50701 | 2017-07-07 |
| 1932471109 | Walgreens | Pharmacy | 111 W Ridgeway Avenue, Waterloo, IA 50701 | 2012-02-03 |
| 1598055188 | Knox Eyecare | Optometrist | 1030 Alabar Ave., Waterloo, IA 50701 | 2011-04-15 |
| 1013222330 | Ashley Lynn Charmichael | Dentist | 220 W. Ridgeway Ave., Suite 201, Waterloo, IA 50701 | 2010-08-11 |
| 1013234194 | Ryan Norman Borgwardt | Dentist | 820 Fisher Drive, Waterloo, IA 50701 | 2010-04-28 |
| 1629302310 | Rhonda Kay Herum | Social Worker | 3731 Pheasant Lane #203, Waterloo, IA 50701 | 2009-09-28 |
| 1801052915 | Benjamin Robert Peterson | Dentist | 424 South St., Waterloo, IA 50701 | 2008-07-29 |
| Find all providers in zip 50701 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205040557 | Covenant Medical Center Inc | Obstetrics & Gynecology | 3421 W 9th St, Waterloo, IA 50702-5401 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043665292 | John Mckeown | Obstetrics & Gynecology | 1924 Nw Ash Dr, Ankeny, IA 50023-8736 | 2016-04-25 |
| 1386956290 | Ottumwa Health Group LLC | Obstetrics & Gynecology | 1001 Pennsylvania Ave, Ottumwa, IA 52501-2186 | 2010-07-08 |
| 1194981126 | Chao Li | Obstetrics & Gynecology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2008-07-29 |
| 1831366533 | Geoffrey Kevan Bowman | Obstetrics & Gynecology | 4480 Utica Ridge Rd, Ste 108, Bettendorf, IA 52722-1656 | 2008-05-12 |
| 1003017153 | St Lukes Methodist Hospital | Obstetrics & Gynecology | 4251 River Center Ct Ne, Cedar Rapids, IA 52402-7549 | 2007-05-29 |
| 1790774818 | Kelly Kay Ward | Obstetrics & Gynecology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-10-20 |
| 1861492753 | Jane A Lyons | Obstetrics & Gynecology | 701 10th St Se, J Edward Lundy Pavilion 4th Floor, Cedar Rapids, IA 52403-1251 | 2005-07-21 |
Please comment or provide details below to improve the information on MS. GWENDOLINE FANG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.