Organization Active NPI

OB-GYN Specialists of Northern Ky

  • Obstetrics & Gynecology Physician
  • Edgewood, KY
National Provider Identifier
1023176393
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
OB-GYN SPECIALISTS OF NORTHERN KY
Practice address
20 Medical Village Drive
Suite 302
Edgewood, KY 41017
Phone
(859) 341-2510
Fax
(859) 578-2004
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Richard L Bevington Jr., CMPE
Title
Practice Manager
Phone
(859) 341-2510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

20 Medical Village Drive
Suite 302
Edgewood, KY 41017

Mailing address

20 Medical Village Drive
Suite 302
Edgewood, KY 41017
Phone (859) 341-2510

National Provider Directory

National Provider Directory

Locations

20 Medical Village Dr
Ste 302
Edgewood, KY 41017
Phone (606) 341-2510

7348 US 42
Florence, KY 41042
Phone (606) 341-2510

Dept L1104
Cincinnati, OH 45270

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1023176393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MEDICAL VILLAGE DRIVE",
            "address_2": "SUITE 302",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "41017",
            "telephone_number": "859-341-2510",
            "fax_number": "859-578-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MEDICAL VILLAGE DRIVE",
            "address_2": "SUITE 302",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "41017",
            "telephone_number": "859-341-2510",
            "fax_number": "859-578-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB-GYN SPECIALISTS OF NORTHERN KY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "BEVINGTON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "859-341-2510",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CMPE"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.