JAMES T DODGE DO LLC (NPI# 1043497167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043497167 |
Entity Type | Organization |
Organization Name | JAMES T DODGE DO LLC |
Other Organization Name | CENTER FOR WOMENS HEALTH |
Practice Address |
919 Chambers Blvd Ste B Bardstown KY 40004-2574 |
Practice Telephone | 5023491411 |
Practice Fax Number | 5023490980 |
Mailing Telephone | 5023491411 |
Mailing Fax Number | 5023490980 |
Enumeration Date | 2008-01-31 |
Last Update Date | 2008-04-14 |
Authorized Official Name | DR. JAMES T. DODGE (OWNER) |
Authorized Official Telephone | 5023491411 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 302F00000X | Exclusive Provider Organization | 02609 | KY | Managed Care Organizations |
Y | 207V00000X | Obstetrics & Gynecology | 02609 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | GROUP | 7789 | 01 |
KY | 65939969 | 05 |
Other Name | Type Code |
---|---|
Center for Womens Health | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255638938 | James T Dodge Do LLC | Advanced Practice Midwife | 1905 W Hebron Ln Ste 205, Shepherdsville, KY 40165-7467 | 2011-02-16 |
1881846780 | James T Dodge Do LLC | Advanced Practice Midwife | 919 Chambers Blvd Ste B, Bardstown, KY 40004-2574 | 2008-10-22 |
Street Address |
919 CHAMBERS BLVD STE B |
City | BARDSTOWN |
State | KY |
Zip Code | 40004-2574 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881846780 | James T Dodge Do LLC | Advanced Practice Midwife | 919 Chambers Blvd Ste B, Bardstown, KY 40004-2574 | 2008-10-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710590880 | Flaget Healthcare, Inc | Clinic/Center | 4359 Shepherdsville Road, Ste 255, Bardstown, KY 40004 | 2020-08-28 |
1902421043 | Astra Recovery Centers, LLC | Substance Abuse Rehabilitation Facility | 202 Downs Lane, Bardstown, KY 40004 | 2020-06-15 |
1285296194 | Hardin Memorial Hospital | Pharmacy | 3615 E John Rowan Blvd, Bardstown, KY 40004 | 2019-07-01 |
1376024919 | Flaget Healthcare Inc | Clinic/Center | 110 N. Salem Drive, Bardstown, KY 40004 | 2018-08-22 |
1730697517 | Shannon Michelle Woods | Nurse Practitioner | 1095 Morton Ave, Bardstown, KY 40004 | 2018-01-16 |
1477922490 | Kristi Ballard | Counselor | 1000 E John Rowan Blvd Ste 107, Bardstown, KY 40004 | 2015-09-21 |
1659705309 | Patricia Hall | Speech-Language Pathologist | 310 South 6th Street, Bardstown, KY 40004 | 2013-08-29 |
1629314885 | Saint Joseph-anc Home Care Services, LLC | Hospice Care, Community Based | 711 Mcdowell Blvd, Bardstown, KY 40004 | 2012-12-17 |
1780920058 | Stars and Stripes Medical LLC | Durable Medical Equipment & Medical Supplies | 301 W. Stephen Foster Ave, Suite B., Bardstown, KY 40004 | 2012-12-14 |
1366790230 | Lynda Onyinyechi Uzonwune | Pharmacist | 202 West Stephen Foster Avenue, Bardstown, KY 40004 | 2012-08-26 |
Find all providers in zip 40004 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053318444 | James T Dodge | Obstetrics & Gynecology | 919b Chambers Blvd, Bardstown, KY 40004-2526 | 2005-06-30 |
1477811560 | Carmen Yvette Young Folmar | Obstetrics & Gynecology | 4359 New Shepherdsville Rd, Suite 255, Bardstown, KY 40004-8000 | 2012-04-26 |
1548423957 | Hannah Morgan Hall | Obstetrics & Gynecology | 4359 New Shepherdsville Rd, Ste 255, Bardstown, KY 40004-8000 | 2008-07-07 |
1841491008 | Bardstown Womens Health Care LLC | Obstetrics & Gynecology | 118 Patriot Drive, Suite 202, Bardstown, KY 40004 | 2007-05-29 |
1225147234 | Basim Kahleifeh | Obstetrics & Gynecology | 118 Patriot Drive, Suite 202, Bardstown, KY 40004 | 2006-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568094670 | Commonwealth Community Care Centers, LLC | Obstetrics & Gynecology | 156 North Lake Drive, Prestonburg, KY 41653 | 2020-02-06 |
1487285029 | Kenneth Lee Mudd | Obstetrics & Gynecology | 1081 Eastern Pkwy, Louisville, KY 40217-1559 | 2020-02-03 |
1881146793 | One Way Gynecology LLC | Obstetrics & Gynecology | 126 Daniel Dr, Suite B, Danville, KY 40422-2547 | 2016-10-26 |
1043667041 | Lindsey Ann Choi | Obstetrics & Gynecology | 650 Joel Dr Bldg A, Fort Campbell, KY 42223-5318 | 2016-05-19 |
1518321959 | Celia M O'brien | Obstetrics & Gynecology | 4130 Dutchmans Ln Ste 400, Louisville, KY 40207-4711 | 2016-04-12 |
1285098061 | Audrey Garneau | Obstetrics & Gynecology | 800 Rose St # C368, Lexington, KY 40536-4720 | 2016-04-07 |
1558743658 | Katherine Schluter Vignes | Obstetrics & Gynecology | Obstetrics and Gynecology, 800 Rose Street C-368, Lexington, KY 40536-0293 | 2015-06-24 |
1912387523 | Emily Jordan Gregory | Obstetrics & Gynecology | 1700 Nicholasville Rd Ste 703, Lexington, KY 40503-1467 | 2015-06-09 |
1134530546 | Katherine Williamson | Obstetrics & Gynecology | 3927 Primrose Place, Paducah, KY 42001 | 2014-05-20 |
1851701452 | Megan O'conner Schneider | Obstetrics & Gynecology | 20 Medical Village Dr Ste 302, Edgewood, KY 41017 | 2014-05-05 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.