Active NPI
Lake Cumberland Womens Health Specialists,PSC
- Obstetrics & Gynecology Physician
- Somerset, KY
National Provider Identifier
1578600367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- LAKE CUMBERLAND WOMENS HEALTH SPECIALISTS,PSC
- Practice address
- 333 Bogle St
Somerset, KY 42503-2873 - Phone
- (606) 678-0705
- Fax
- (606) 678-2807
- NPI assigned
- Jan 31, 2007
- 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
- Dr. Dale Edward Rutledge I, M.D.
- Title
- Physician VP
- Phone
- (606) 678-0705
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | KY | Primary | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | KY |
Addresses
Primary practice location
333 Bogle St
Somerset, KY 42503-2873
Mailing address
333 Bogle St
Somerset, KY 42503-2873
Phone (606) 678-0705
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335225600000",
"number": "1578600367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 BOGLE ST",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425032873",
"telephone_number": "606-678-0705",
"fax_number": "606-678-2807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 BOGLE ST",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425032873",
"telephone_number": "606-678-0705",
"fax_number": "606-678-2807"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKE CUMBERLAND WOMENS HEALTH SPECIALISTS,PSC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-31",
"last_updated": "2012-04-24",
"status": "A",
"authorized_official_last_name": "RUTLEDGE",
"authorized_official_first_name": "DALE",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PHYSICIAN VP",
"authorized_official_telephone_number": "606-678-0705",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "I",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "KY",
"license": null,
"primary": true
},
{
"code": "363LX0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "KY",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, KY
- Lake Cumberland Regional MHMR Board Outpatient
- Lake Cumberland Rheumatology, PLLC
- Lake Cumberland Surgery Center LP
- Lake Cumberland Surgical Assistants LLC
- Lake Cumberland Surgical Consultants PSC
- Laker Dental
- Lakeside Primary Care, PSC
- Jessica Lamb, A.P.R.N.
- Dennis Roger Lane, M.D.
- Jessica Michelle Lane, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.