Hendersonville OBGYN LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

HENDERSONVILLE OBGYN LLC

Practice address

353 New Shackle Island Rd
Suite 341-C
Hendersonville, TN 37075-2379

Phone

(615) 826-1716

Fax

(615) 826-4841

NPI assigned

Jul 31, 2007

Organization subpart

No

Name

Chuck Locke

Title

Vice President

Phone

(615) 373-7604

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

• Jill Steier, MD

  • Obstetrics & Gynecology Physician
  • Hendersonville, TN
  • NPI 1033103551

  Obstetrics & Gynecology

  NPD (past)
• Tiffanie Lavon Tate Moore, MD

  • Obstetrics & Gynecology Physician
  • Riverside, CA
  • NPI 1861549750

  Obstetrics & Gynecology

  NPD (past)

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

• Bluegrass Obstetrics and Gynecology Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 9, 2008.

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1306036769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD",
            "address_2": "SUITE 341-C",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752379",
            "telephone_number": "615-826-1716",
            "fax_number": "615-826-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD",
            "address_2": "SUITE 341-C",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752379",
            "telephone_number": "615-826-1716",
            "fax_number": "615-826-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSONVILLE OBGYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "LOCKE",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-373-7604"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3723252",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluegrass Obstetrics and Gynecology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hendersonville Hospital Corporation
• Hendersonville Hospital Corporation
• Hendersonville Hospitalist Services Inc
• Hendersonville Imperial Dental Care
• Hendersonville OB/GYN, LLC
• Hendersonville Obstetrics and Gynecology
• Hendersonville Obstetrics and Gynecology PLLC
• Hendersonville Pharmacy LLC
• Hendersonville Pharmacy LLC
• Hendersonville Rehabilitation Center

• All providers in Hendersonville, TN
• Obstetrics & Gynecology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.