Active NPI
Womens Health Care of Northern Ky PSC
- Obstetrics & Gynecology Physician
- Edgewood, KY
National Provider Identifier
1285678961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- WOMENS HEALTH CARE OF NORTHERN KY PSC
- Practice address
- 20 Medical Village Drive
Suite 354
Edgewood, KY 41017 - Phone
- (859) 331-4665
- Fax
- (859) 331-6370
- NPI assigned
- Jun 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey D Gochoel, MD
- Title
- President
- Phone
- (859) 331-4665
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
20 Medical Village Drive
Suite 354
Edgewood, KY 41017
Mailing address
20 Medical Village Drive
Suite 354
Edgewood, KY 41017
Phone (859) 331-4665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65933905 | Medicaid | KY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1384819200000",
"number": "1285678961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 MEDICAL VILLAGE DRIVE",
"address_2": "SUITE 354",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "41017",
"telephone_number": "859-331-4665",
"fax_number": "859-331-6370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 MEDICAL VILLAGE DRIVE",
"address_2": "SUITE 354",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "41017",
"telephone_number": "859-331-4665",
"fax_number": "859-331-6370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMENS HEALTH CARE OF NORTHERN KY PSC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-15",
"last_updated": "2013-11-19",
"status": "A",
"authorized_official_last_name": "GOCHOEL",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "859-331-4665",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65933905",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edgewood, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.