Organization Active NPI

Central Kentucky High Risk Obstetrics, PLLC

  • Maternal & Fetal Medicine Physician
  • Lexington, KY
National Provider Identifier
1891984597
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
CENTRAL KENTUCKY HIGH RISK OBSTETRICS, PLLC
Practice address
170 N. Eagle Creek Drive
Suite 110
Lexington, KY 40509-1805
Phone
(859) 263-0141
Fax
(859) 263-8669
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Authorized official

Name
Berry Campbell, M.D.NPI 1700808979
Title
Owner
Phone
(859) 263-0141

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
Maternal & Fetal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VM0101X Primary

Addresses

Primary practice location

170 N. Eagle Creek Drive
Suite 110
Lexington, KY 40509-1805

Mailing address

170 North Eagle Creek Drive
Ste 110
Lexington, KY 40509-1805
Phone (859) 263-0141

Other identifiers 1

IdentifierTypeStateIssuer
000000219605OtherKYANTHEM BCBS

National Provider Directory

National Provider Directory

Locations

160 N Eagle Creek Dr
Ste 400
Lexington, KY 40509
Phone (859) 258-5220

161 N Eagle Creek Dr
#100
Lexington, KY 40509
Phone (859) 263-0141

Practitioners & affiliated clinicians

Practitioners 1

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": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1891984597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 NORTH EAGLE CREEK DRIVE",
            "address_2": "STE 110",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091805",
            "telephone_number": "859-263-0141",
            "fax_number": "859-263-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 N. EAGLE CREEK DRIVE",
            "address_2": "SUITE 110",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091805",
            "telephone_number": "859-263-0141",
            "fax_number": "859-263-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL KENTUCKY HIGH RISK OBSTETRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "BERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-263-0141",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000219605",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.

Verify at the official NPI Registry.