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1215182951 NPI number — WOMENS CENTER FOR GYNECOLOGY AND BLADDER DISORDERS

NPI Number: 1215182951
Health Care Provider/Practitioner: WOMENS CENTER FOR GYNECOLOGY AND BLADDER DISORDERS

Information about “1215182951” NPI (WOMENS CENTER FOR GYNECOLOGY AND BLADDER DISORDERS) exists in 1215182951 in HTML format HTML  |  1215182951 in plain Text format TXT  |  1215182951 in PDF (Portable Document Format) PDF  |  1215182951 in an XML format XML  formats.

NPI Number : 1215182951 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215182951",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WOMENS CENTER FOR GYNECOLOGY AND BLADDER DISORDERS",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5512 BARDSTOWN RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOUISVILLE",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "40291-1910",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "502-239-9920",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5512 BARDSTOWN RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOUISVILLE",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "40291-1910",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "502-239-9920",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/21/2008",
    "LastUpdateDate": "12/02/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "EKLUND",
    "AuthorizedOfficialFirstName": "JAN",
    "AuthorizedOfficialMiddleName": "N",
    "AuthorizedOfficialTitle": "MEMBER/REGISTERED AGENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "ARNP",
    "AuthorizedOfficialTelephoneNumber": "502-239-9920",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LW0102X",
        "TaxonomyName": "Women's Health Nurse Practitioner",
        "LicenseNumber": "1777P & 3074P",
        "LicenseNumberStateCode": "KY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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