Organization Active NPI

Bardstown Womens Health Care LLC

  • Obstetrics & Gynecology Physician
  • Bardstown, KY
National Provider Identifier
1841491008
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
36376 Issued in KY
Legal business name
BARDSTOWN WOMENS HEALTH CARE LLC
Practice address
118 Patriot Drive
Suite 202
Bardstown, KY 40004
Phone
(502) 348-8100
NPI assigned
May 29, 2007
Last updated
Sep 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Authorized official

Name
Dr. Basim Kahleifeh, MDNPI 1225147234
Title
Owner
Phone
(502) 348-8100

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 36376 KY Primary

Addresses

Primary practice location

118 Patriot Drive
Suite 202
Bardstown, KY 40004

Mailing address

118 Patriot Drive
Suite 202
Bardstown, KY 40004
Phone (502) 348-8100

Other identifiers 1

IdentifierTypeStateIssuer
64033657MedicaidKY

National Provider Directory

National Provider Directory

Locations

118 Patriot Dr
Ste 202
Bardstown, KY 40004
Phone (502) 331-4724

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": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1841491008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 PATRIOT DRIVE",
            "address_2": "SUITE 202",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "40004",
            "telephone_number": "502-348-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 PATRIOT DRIVE",
            "address_2": "SUITE 202",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "40004",
            "telephone_number": "502-348-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARDSTOWN WOMENS HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "KAHLEIFEH",
        "authorized_official_first_name": "BASIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-348-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "36376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64033657",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.