Women'S Healthcare of Southern Indiana LLC
Organization Active NPI Obstetrics & Gynecology Physician · Georgetown, IN
NPI 1649352014 · NPPES record last updated Apr 20, 2017
Key facts
- NPI
- 1649352014
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 01059399A (IN)
- Legal business name
- WOMEN'S HEALTHCARE OF SOUTHERN INDIANA LLC
- Practice address
- 5300 State Road 64
Suite 103
Georgetown, IN 47122-9178 - Phone
- (812) 923-6200
- Fax
- (812) 923-6204
- NPI assigned
- Oct 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Kerrin C Dunn, M.D., PHD
- Title
- Owner
- Phone
- (812) 923-6200
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | 01059399A | IN | Yes |
Addresses
Primary practice location
5300 State Road 64
Suite 103
Georgetown, IN 47122-9178
Mailing address
5300 State Road 64
Suite 103
Georgetown, IN 47122-9178
Phone (812) 923-6200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200071370A | Medicaid | IN | |
| 7100199000 | Medicaid | KY | |
| 219930 | Other | IN | MEDICARE PTAN |
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- Rebecca Todd
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- Tanesha Washington
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- Gretchen Weiser
- Bobbi Yates
All providers in Georgetown, IN · Obstetrics & Gynecology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.