Organization Active NPI

Bardstown Women's Center PLLC

  • Specialist
  • Bardstown, KY
National Provider Identifier
1255480513
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
29164 Issued in KY
Legal business name
BARDSTOWN WOMEN'S CENTER PLLC
Practice address
201 S. 5TH St.
Suite 9
Bardstown, KY 40004
Phone
(502) 348-7755
Fax
(502) 349-0815
NPI assigned
Jan 9, 2007
Last updated
Mar 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Dr. Franklin O Delacruz, MDNPI 1982674370
Title
President
Phone
(502) 348-7755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 29164 KY Primary

Addresses

Primary practice location

201 S. 5TH St.
Suite 9
Bardstown, KY 40004

Mailing address

201 S.5TH St
Suite 9
Bardstown, KY 40004
Phone (502) 348-7755

Other identifiers 1

IdentifierTypeStateIssuer
65929879MedicaidKY

National Provider Directory

National Provider Directory

Locations

201 S 5th St
Ste 9
Bardstown, KY 40004
Phone (501) 348-7755

Practitioners & affiliated clinicians

Practitioners 2

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1255480513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S.5TH ST",
            "address_2": "SUITE 9",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "40004",
            "telephone_number": "502-348-7755",
            "fax_number": "502-349-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S. 5TH ST.",
            "address_2": "SUITE 9",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "40004",
            "telephone_number": "502-348-7755",
            "fax_number": "502-349-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARDSTOWN WOMEN'S CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "DELACRUZ",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-348-7755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "29164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65929879",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.