Organization Active NPI

Women'S Wellness Center of Corbin, PLLC

  • Specialist
  • Corbin, KY
National Provider Identifier
1265638076
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
23230 Issued in KY
Legal business name
WOMEN'S WELLNESS CENTER OF CORBIN, PLLC
Practice address
1705 Forest Dr
Corbin, KY 40701-2354
Phone
(606) 528-9772
Fax
(606) 528-9242
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Dr. Larry Edward Taylor, M.D.NPI 1457386609
Title
Physician
Phone
(606) 528-9772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 23230 KY Primary

Addresses

Primary practice location

1705 Forest Dr
Corbin, KY 40701-2354

Mailing address

1705 Forest Dr
Corbin, KY 40701-2354
Phone (606) 528-9772

Other identifiers 1

IdentifierTypeStateIssuer
65941882MedicaidKY

National Provider Directory

National Provider Directory

Locations

1705 Forest Dr
Corbin, KY 40701
Phone (606) 528-9772

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1265638076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 FOREST DR",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012354",
            "telephone_number": "606-528-9772",
            "fax_number": "606-528-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 FOREST DR",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012354",
            "telephone_number": "606-528-9772",
            "fax_number": "606-528-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S WELLNESS CENTER OF CORBIN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "606-528-9772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "23230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65941882",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

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