Hendersonville OB/GYN, LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

HENDERSONVILLE OB/GYN, LLC

Practice address

353 New Shackle Island Rd
Suite 221B
Hendersonville, TN 37075-2379

Phone

(615) 822-3880

Fax

(615) 264-1664

NPI assigned

Sep 30, 2005

Last updated

Jul 31, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Birmingham

Title

Director

Phone

(615) 373-7625

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1972590388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD",
            "address_2": "SUITE 221B",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752379",
            "telephone_number": "615-822-3880",
            "fax_number": "615-264-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD",
            "address_2": "SUITE 221B",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752379",
            "telephone_number": "615-822-3880",
            "fax_number": "615-264-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSONVILLE OB/GYN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "BIRMINGHAM",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-373-7625",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3723252",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hendersonville Hospital Corporation (Tristar Hendersonville Medical Center)
• Hendersonville Hospital Corporation (TriStar Women's Imaging at TriStar Hendersonville Medical Center)
• Hendersonville Hospital Corporation (Tristar Hendersonville Medical Center)
• Hendersonville Hospitalist Services Inc
• Hendersonville Imperial Dental Care
• Hendersonville OBGYN LLC (Bluegrass Obstetrics and Gynecology)
• Hendersonville Obstetrics and Gynecology
• Hendersonville Obstetrics and Gynecology PLLC
• Hendersonville Pharmacy LLC (Hendersonville Pharmacy)
• Hendersonville Pharmacy LLC (Hendersonville Pharmacy)

• Obstetrics & Gynecology Physician in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Obstetrics & Gynecology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.