NPIMap

Organization Active NPI

Women's Healthcare of Southern Indiana LLC

  • Obstetrics & Gynecology Physician
  • Georgetown, IN
National Provider Identifier
1649352014
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01059399A Issued in 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
Last updated
Apr 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Dr. Kerrin C Dunn, M.D., PHDNPI 1649275082
Title
Owner
Phone
(812) 923-6200

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 01059399A IN Primary

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

National Provider Directory

National Provider Directory

Locations

5300 State Road 64
Georgetown, IN 47122
Phone (812) 923-4200

Practitioners & affiliated clinicians

Practitioners 1

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": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1649352014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 STATE ROAD 64",
            "address_2": "SUITE 103",
            "city": "GEORGETOWN",
            "state": "IN",
            "postal_code": "471229178",
            "telephone_number": "812-923-6200",
            "fax_number": "812-923-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 STATE ROAD 64",
            "address_2": "SUITE 103",
            "city": "GEORGETOWN",
            "state": "IN",
            "postal_code": "471229178",
            "telephone_number": "812-923-6200",
            "fax_number": "812-923-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S HEALTHCARE OF SOUTHERN INDIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "KERRIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-923-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PHD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01059399A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.