Healthcare Provider Details
I. General information
NPI: 1487608907
Provider Name (Legal Business Name): DES MOINES OB GYN LLP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
303 UNIVERSITY AVE
DES MOINES IA
50314-3126
US
IV. Provider business mailing address
2213 GRAND AVE
DES MOINES IA
50312-5305
US
V. Phone/Fax
- Phone: 515-234-4241
- Fax: 515-243-0209
- Phone: 515-237-3974
- Fax: 515-883-2692
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VM0101X |
| Taxonomy | Maternal & Fetal Medicine Physician |
| License Number | |
| License Number State | IA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LW0102X |
| Taxonomy | Women's Health Nurse Practitioner |
| License Number | |
| License Number State | IA |
VIII. Authorized Official
Name:
FREDRIC
E.
SAGER
Title or Position: PARTNER
Credential: D.O.
Phone: 515-243-4241