Active NPI
OB-GYN Specialists of Northern Ky
- Obstetrics & Gynecology Physician
- Edgewood, KY
National Provider Identifier
1023176393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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 DirectoryLocations
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.