Organization Active NPI

Womens Care of Somerset Corp

  • Gynecology Physician
  • Somerset, KY
National Provider Identifier
1679861314
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
WOMENS CARE OF SOMERSET CORP
Practice address
402 Bogle St
Suite 2
Somerset, KY 42503-2870
Phone
(606) 451-3145
Fax
(606) 451-3149
NPI assigned
Jul 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Authorized official

Name
Dr. Tara R Horn, MDNPI 1497840680
Title
Owner
Phone
(606) 451-3145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

402 Bogle St
Suite 2
Somerset, KY 42503-2870

Mailing address

402 Bogle St
Suite 2
Somerset, KY 42503-2870
Phone (606) 451-3145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120111000666 KY Part B Supplier - Clinic/Group Practice 5294902433 Receives reassigned benefits from 4 practitioners
Practice locations: Somerset, KY

National Provider Directory

National Provider Directory
Tax ID family
Women S Care of Somerset2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

402 Bogle St
Ste 1
Somerset, KY 42503
Phone (606) 679-8696

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1679861314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 BOGLE ST",
            "address_2": "SUITE 2",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032870",
            "telephone_number": "606-451-3145",
            "fax_number": "606-451-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 BOGLE ST",
            "address_2": "SUITE 2",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032870",
            "telephone_number": "606-451-3145",
            "fax_number": "606-451-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS CARE OF SOMERSET CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-15",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-451-3145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.