Healthcare Provider Details

I. General information

NPI: 1619130234
Provider Name (Legal Business Name): WOMEN'S HEALTHCARE,P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2008
Last Update Date: 07/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1953 1ST AVE SE C6
CEDAR RAPIDS IA
52402-5328
US

IV. Provider business mailing address

1953 1ST AVE SE C6
CEDAR RAPIDS IA
52402-5328
US

V. Phone/Fax

Practice location:
  • Phone: 319-362-1320
  • Fax:
Mailing address:
  • Phone: 319-362-1320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number24188
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. THOMAS J. GETTA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 319-362-1320