Organization Active NPI

Bluegrass Womens Center PLLC

  • Obstetrics & Gynecology Physician
  • La Grange, KY
National Provider Identifier
1144395286
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
02725 Issued in KY
Legal business name
BLUEGRASS WOMENS CENTER PLLC
Practice address
120 E Adams St
Suite 6
La Grange, KY 40031-1278
Phone
(502) 225-6800
Fax
(502) 225-6803
NPI assigned
Nov 22, 2006
Last updated
Feb 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Authorized official

Name
William Earl Trent, MD
Title
Owner Physician
Phone
(502) 225-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 02725 KY Primary

Addresses

Primary practice location

120 E Adams St
Suite 6
La Grange, KY 40031-1278

Mailing address

120 E Adams St
Suite 6
La Grange, KY 40031-1278
Phone (502) 225-6800

Other identifiers 5

IdentifierTypeStateIssuer
000000202890OtherKYANTHEM
1153124OtherKYPASSPORT
2438729000OtherKYPASSPORT ADVANTAGE
4601014OtherAETNA
64040942MedicaidKY

National Provider Directory

National Provider Directory

Locations

3208 Reliable Pkwy
Chicago, IL 60686

120 E Adams St
Ste 6
Lagrange, KY 40031
Phone (502) 225-6800

12615 Taylorsville Rd
Louisville, KY 40299
Phone (502) 225-6800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1144395286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E ADAMS ST",
            "address_2": "SUITE 6",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400311278",
            "telephone_number": "502-225-6800",
            "fax_number": "502-225-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E ADAMS ST",
            "address_2": "SUITE 6",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400311278",
            "telephone_number": "502-225-6800",
            "fax_number": "502-225-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS WOMENS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "TRENT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "502-225-6800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "02725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000202890",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1153124",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2438729000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4601014",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64040942",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.