Healthcare Provider Details

I. General information

NPI: 1912236381
Provider Name (Legal Business Name): OB HOSPITALIST GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2009
Last Update Date: 07/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 N EAGLE CREEK DR
LEXINGTON KY
40509-1805
US

IV. Provider business mailing address

PO BOX 6806
GREENVILLE SC
29606-6806
US

V. Phone/Fax

Practice location:
  • Phone: 859-967-5000
  • Fax:
Mailing address:
  • Phone: 800-967-2289
  • Fax: 864-752-1227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID C SWAIN
Title or Position: CEO
Credential:
Phone: 800-967-2289