Organization Active NPI

Bluegrass Womens Health, PLLC

  • Obstetrics & Gynecology Physician
  • Russellville, KY
National Provider Identifier
1477500668
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
TP336 Issued in KY
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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

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.

Verify at the official NPI Registry.