Active NPI
Select OB GYN PSC
- Obstetrics & Gynecology Physician
- Florence, KY
National Provider Identifier
1629185947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- SELECT OB GYN PSC
- Practice address
- 6907 Burlington Pike
Florence, KY 41042-1618 - Phone
- (859) 525-1846
- Fax
- (859) 647-3355
- NPI assigned
- Aug 23, 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
- Dr. Steven Lee Willett, M.D.
- Title
- President
- Phone
- (859) 525-1846
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
6907 Burlington Pike
Florence, KY 41042-1618
Mailing address
6907 Burlington Pike
Florence, KY 41042-1618
Phone (859) 525-1846
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65914194 | Medicaid | KY |
Other names 1
- LEA & HENSLEY PSC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305072000000",
"number": "1629185947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6907 BURLINGTON PIKE",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410421618",
"telephone_number": "859-525-1846",
"fax_number": "859-647-3355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6907 BURLINGTON PIKE",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410421618",
"telephone_number": "859-525-1846",
"fax_number": "859-647-3355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELECT OB GYN PSC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-23",
"last_updated": "2011-05-11",
"status": "A",
"authorized_official_last_name": "WILLETT",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "859-525-1846",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"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": "65914194",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LEA & HENSLEY PSC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Florence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.