Active NPI
Bluegrass Womens Health, PLLC
- Obstetrics & Gynecology Physician
- Russellville, KY
National Provider Identifier
1477500668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- TP336
- Legal business name
- BLUEGRASS WOMENS HEALTH, PLLC
- Practice address
- 1621 Nashville St
Suite 101
Russellville, KY 42276-8871 - Phone
- (270) 725-8373
- Fax
- (270) 725-8375
- NPI assigned
- May 31, 2006
- Last updated
- Jul 1, 2008
- 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
- Sanjay Tandon, M.D.
- Title
- Physician
- Phone
- (270) 725-8373
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | TP336 | KY | Primary |
Addresses
Primary practice location
1621 Nashville St
Suite 101
Russellville, KY 42276-8871
Mailing address
1621 Nashville St
Suite 101
Russellville, KY 42276-8871
Phone (270) 725-8373
National Provider Directory
National Provider DirectoryLocations
1621 Nashville St
Ste 101
Russellville, KY 42276
Phone (270) 725-8373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214870400000",
"number": "1477500668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1621 NASHVILLE ST",
"address_2": "SUITE 101",
"city": "RUSSELLVILLE",
"state": "KY",
"postal_code": "422768871",
"telephone_number": "270-725-8373",
"fax_number": "270-725-8375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 NASHVILLE ST",
"address_2": "SUITE 101",
"city": "RUSSELLVILLE",
"state": "KY",
"postal_code": "422768871",
"telephone_number": "270-725-8373",
"fax_number": "270-725-8375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUEGRASS WOMENS HEALTH, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-31",
"last_updated": "2008-07-01",
"status": "A",
"authorized_official_last_name": "TANDON",
"authorized_official_first_name": "SANJAY",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "270-725-8373",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "KY",
"license": "TP336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Russellville, KY
- Hannah Nicole Baumann, RN, BSN
- Misti Beachy, LMT
- Jillian Kathleen Belt, FNP-C, PMHNP-BC
- Britney Anne Bertsch, M.D.
- Bill D Webb PSC
- Stephanie Leigh Booker, LMT
- Lauren Megan Boone, RPH
- Bowling Green-Warren County Community Hospital Corporation (The Medical Center at Russellville)
- Bowling Green-Warren County Community Hospital Corporation (Med Center Health Primary Care Russellville)
- Bowling Green-Warren County Community Hospital Corporation (The Medical Center at Russellville)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.