Lexington OB GYN Associates PSC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

7100514990 Issued in KY

Legal business name

LEXINGTON OB GYN ASSOCIATES PSC

Practice address

1700 Nicholasville Rd Ste 701
Lexington, KY 40503-1467

Phone

(859) 278-0396

Fax

(859) 277-5414

NPI assigned

Jul 20, 2006

Last updated

Jul 29, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Elizabeth L Owen, RN

Title

Practice Manager

Phone

(859) 278-0396

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1639199904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NICHOLASVILLE RD STE 701",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031467",
            "telephone_number": "859-278-0396",
            "fax_number": "859-277-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NICHOLASVILLE RD STE 701",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031467",
            "telephone_number": "859-278-0396",
            "fax_number": "859-277-5414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 Bevins Ln Ste C",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "403246137",
            "country_code": "US",
            "telephone_number": "502-868-0338",
            "fax_number": "859-277-5414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEXINGTON OB GYN ASSOCIATES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "859-278-0396",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KY",
            "license": "7100514990",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "KY",
            "license": "7100514990",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "65904625",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "60173",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100142080",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Women's Health Nurse Practitioner in Lexington, KY
• Providers in Lexington, KY by specialty
• Women's Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.