Active NPI
Saint Joseph Medical Foundation, Inc
Doing business as Women's Care of Bardstown
- Obstetrics & Gynecology Physician
- Bardstown, KY
National Provider Identifier
1649402900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- SAINT JOSEPH MEDICAL FOUNDATION, INC
- Doing business as
- Women's Care of Bardstown
- Practice address
- 919 Chambers Blvd
Ste B
Bardstown, KY 40004-2573 - Phone
- (502) 349-4604
- Fax
- (502) 349-4606
- NPI assigned
- Aug 19, 2009
- Organization subpart
- Yes
- Parent organization
- SAINT JOSEPH MEDICAL FOUNDATION, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kandi R Rea
- Title
- Credentialing Specialist
- Phone
- (606) 330-3404
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary | ||
| Advanced Practice Midwife | 367A00000X |
Addresses
Primary practice location
919 Chambers Blvd
Ste B
Bardstown, KY 40004-2573
Mailing address
PO Box 73652
Cleveland, OH 44193-0002
Phone (606) 330-3404
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 212480909 | Other | KY | BLACK LUNG |
| 50025502 | Other | KY | PASSPORT |
| 7100091360 | Medicaid | KY |
Other names 1
- Women's Care of Bardstown
National Provider Directory
National Provider Directory- Part of
- Saint Joseph Med FND Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282089600000",
"number": "1649402900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 73652",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441930002",
"telephone_number": "606-330-3404",
"fax_number": "606-330-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 CHAMBERS BLVD",
"address_2": "STE B",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400042573",
"telephone_number": "502-349-4604",
"fax_number": "502-349-4606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAINT JOSEPH MEDICAL FOUNDATION, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SAINT JOSEPH MEDICAL FOUNDATION, INC",
"enumeration_date": "2009-08-19",
"last_updated": "2010-08-18",
"status": "A",
"authorized_official_last_name": "REA",
"authorized_official_first_name": "KANDI",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "606-330-3404"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Advanced Practice Midwife",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "212480909",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50025502",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100091360",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Women's Care of Bardstown",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bardstown, KY
- Saint Joseph Health System Inc. (CommonSpirit Medical Group- Primary Care- Bardstown)
- Saint Joseph Health System Inc. (CommonSpirit Medical Group- Primary Care & General Surgery- Bardstown)
- Saint Joseph Health System Inc. (CommonSpirit Medical Group- Obstetrics & Gynecology- Bardstown)
- Saint Joseph Health System, Inc.
- Saint Joseph Medical Foundation, Inc (Flaget Primary Care Associates)
- Saint Joseph Medical Foundation, Inc (Bardstown Bariatric & General Surgery)
- Saint Joseph Medical Foundation, Inc. (Flaget Orthopedic Associates)
- Saint Joseph Medical Foundation, Inc.
- Saint Joseph Medical Foundation, Inc. (Flaget Surgical Associates)
- Saint Joseph-Anc Home Care Services, LLC (CommonSpirit Health at Home - Bardstown)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.