James T Dodge DO LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

02609 Issued in KY

Legal business name

JAMES T DODGE DO LLC

Practice address

919 Chambers Blvd Ste B
Bardstown, KY 40004-2574

Phone

(502) 349-1411

Fax

(502) 349-0980

NPI assigned

Jan 31, 2008

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

(502) 349-1411

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Center for Womens Health Doing business as

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• James T Dodge DO LLC

  • Advanced Practice Midwife
  • Shepherdsville, KY
  • NPI 1255638938
  NPPES parent name
• James T Dodge DO LLC

  • Advanced Practice Midwife
  • Bardstown, KY
  • NPI 1881846780
  NPPES parent name

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1043497167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 CHAMBERS BLVD STE B",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042574",
            "telephone_number": "502-349-1411",
            "fax_number": "502-349-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 CHAMBERS BLVD STE B",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042574",
            "telephone_number": "502-349-1411",
            "fax_number": "502-349-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES T DODGE DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-04-14",
        "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": "502-349-1411",
        "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
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "KY",
            "license": "02609",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65939969",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "7789",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Womens Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Obstetrics & Gynecology Physician in Bardstown, KY
• Providers in Bardstown, 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 Apr 14, 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.