Organization Active NPI

Tri County OB GYN Associates PLC LLC

  • Obstetrics & Gynecology Physician
  • La Grange, KY
National Provider Identifier
1649349911
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
TRI COUNTY OB GYN ASSOCIATES PLC LLC
Practice address
1023 New Moody Lane
Tri County OB GYN Associates Inc Suite 103
La Grange, KY 40031-9179
Phone
(502) 222-5558
Fax
(502) 222-3040
NPI assigned
Nov 8, 2006
Last updated
Mar 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Authorized official

Name
Timothy Stewart Spaulding, M.D.NPI 1306882022
Title
Partner
Phone
(502) 222-5558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X NU
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

1023 New Moody Lane
Tri County OB GYN Associates Inc Suite 103
La Grange, KY 40031-9179

Mailing address

1023 New Moody LN Ste 103
La Grange, KY 40031-9179
Phone (502) 222-5558

Other identifiers 3

IdentifierTypeStateIssuer
2438489000OtherKYPASSPORT ADVANTAGE
65935884MedicaidKY
1149112OtherKYAMERIHEALTH

National Provider Directory

National Provider Directory

Locations

1031 New Moody Ln
Ste 305
Lagrange, KY 40031
Phone (502) 222-5558

3301 Jericho Rd
Lagrange, KY 40031
Phone (502) 222-5558

2400 Eastpoint Pkwy
Ste 103
Louisville, KY 40223
Phone (502) 245-4644

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1649349911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 NEW MOODY LN STE 103",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400319179",
            "telephone_number": "502-222-5558",
            "fax_number": "502-222-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 NEW MOODY LANE",
            "address_2": "TRI COUNTY OB GYN ASSOCIATES INC SUITE 103",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400319179",
            "telephone_number": "502-222-5558",
            "fax_number": "502-222-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY OB GYN ASSOCIATES PLC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "SPAULDING",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "502-222-5558",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2438489000",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65935884",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "1149112",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.