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OBSTETRICS AND GYNECOLOGY SPECIALISTS PC
NPI 1427003011
Obstetrics & Gynecology in Davenport, IA

Active since May 23, 2006CLIA Certified · 2 labs
5350 EASTERN AVENUE, DAVENPORT, IA 52807(563) 355-1853(563) 355-0327 Get Directions Write a Review

NPPES record last updated: November 15, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Obstetrics And Gynecology Specialists Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OBSTETRICS AND GYNECOLOGY SPECIALISTS PC (NPI 1427003011) is a healthcare organization registered as an obstetrics & gynecology in Davenport, Iowa and active in the NPI registry since May 2006. The organization holds 2 active CLIA laboratory certificates and lists Jenie Marie Graham, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1427003011
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameOBSTETRICS AND GYNECOLOGY SPECIALISTS PC
Location Address5350 EASTERN AVENUEDavenport, IA 52807
Mailing Address5350 Eastern AvenueDavenport, IA 52807 · (563) 355-1853 · Fax (563) 355-0327
Phone(563) 355-1853
Fax(563) 355-0327
Organization SubpartNo
Authorized OfficialJenie Marie GrahamCredentialing · (563) 355-1853
Enumeration DateMay 23, 2006
Last NPPES UpdateNovember 15, 2017
✔ NPI 1427003011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
5350 EASTERN AVENUE, Davenport, IA 52807
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Other Identifiers 1

Medicare ID-Type Unspecified9242IA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 16D2321716

Obstetrics And Gynecology Specialists PC · Davenport, IA
Active · expires Oct 7, 2027
CLIA Number16D2321716
Laboratory TypePhysician Office
Certificate Effective DateOctober 8, 2025
Certificate Expiration DateOctober 7, 2027
Laboratory DirectorDiana Ye
Laboratory Phone(563) 441-6500
Laboratory LocationObstetrics And Gynecology Specialists PC5350 Eastern Ave Ste 100, Davenport, IA 52807
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 16D0388094

Obstetrics & Gynecology Specialists, PC · Davenport, IA
Active · expires Aug 31, 2026
CLIA Number16D0388094
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKenneth L. Naylor
Laboratory Phone(563) 355-1853
Laboratory LocationObstetrics & Gynecology Specialists, PC5350 Eastern Avenue, Davenport, IA 52807
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. HEATHER FAYE MINK CNM
Advanced Practice Midwife
5350 EASTERN AVENUE
DAVENPORT, IA 52807
Scott County (563) 355-1853

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Obstetrics And Gynecology Specialists PC's NPI number?

The NPI number for Obstetrics And Gynecology Specialists PC is 1427003011. It was assigned to this organization in the NPPES registry on May 23, 2006.

Where is Obstetrics And Gynecology Specialists PC located?

Obstetrics And Gynecology Specialists PC is located at 5350 Eastern Avenue, Davenport, IA 52807. The listed phone number is (563) 355-1853.

What is Obstetrics And Gynecology Specialists PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Obstetrics And Gynecology Specialists PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Obstetrics And Gynecology Specialists PC accept?

Health plans from Medica list Obstetrics And Gynecology Specialists PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Obstetrics And Gynecology Specialists PC was last updated on November 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.