James T Dodge, D.O., LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

02609 Issued in KY

Legal business name

JAMES T DODGE, D.O., LLC

Doing business as

Center for Women's Health

Practice address

1905 W Hebron LN
Ste 205
Shepherdsville, KY 40165-7465

Phone

(877) 349-1411

Fax

(502) 349-0980

NPI assigned

Mar 2, 2011

Organization subpart

No

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

Authorized official

Name

Dr. James T Dodge, D.O.

Title

Owner

Phone

5028773491411

Specialties & licenses 1

Addresses

Other names 1

• Center for Women's Health Doing business as

Locations

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1023316908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 W HEBRON LN",
            "address_2": "STE 205",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401657465",
            "telephone_number": "877-349-1411",
            "fax_number": "502-349-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W HEBRON LN",
            "address_2": "STE 205",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401657465",
            "telephone_number": "877-349-1411",
            "fax_number": "502-349-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES T DODGE, D.O., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "DODGE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "5028773491411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "02609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Women's Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charlotte Kay Ingwersen, M.D.
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• Antwoine Jackson
• James T Dodge DO LLC
• Kaelin Jansen, APRN
• Tiffany Jenkins
• Jewish Hospital & St. Mary'S Healthcare, Inc.
• Jewish Hospital and St. Mary'S Healthcare, Inc.
• Susan G Johns, M.D.

• Obstetrics & Gynecology Physician in Shepherdsville, KY
• Providers in Shepherdsville, KY by specialty
• Obstetrics & Gynecology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.