SELECT OB GYN PSC (NPI# 1629185947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629185947 |
| Entity Type | Organization |
| Organization Name | SELECT OB GYN PSC |
| Other Organization Name | LEA & HENSLEY PSC |
| Practice Address |
6907 Burlington Pike Florence KY 41042-1618 |
| Practice Telephone | 8595251846 |
| Practice Fax Number | 8596473355 |
| Mailing Telephone | 8595251846 |
| Mailing Fax Number | 8596473355 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2011-05-11 |
| Authorized Official Name | DR. STEVEN LEE WILLETT (PRESIDENT) |
| Authorized Official Telephone | 8595251846 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65914194 | 05 |
| Other Name | Type Code |
|---|---|
| LEA & HENSLEY PSC | Former Legal Business Name - Organization |
| Street Address |
6907 BURLINGTON PIKE |
| City | FLORENCE |
| State | KY |
| Zip Code | 41042-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710956388 | Laura Matthys Moore | Obstetrics & Gynecology | 6907 Burlington Pike, Florence, KY 41042 | 2006-03-16 |
| 1326362872 | Lily Elsaidi Hahn | Obstetrics & Gynecology | 6907 Burlington Pike, Florence, KY 41042 | 2010-03-25 |
| 1255355822 | Jacqueline T Hanson | Obstetrics & Gynecology | 6907 Burlington Pike, Florence, KY 41042-1618 | 2006-07-27 |
| 1669494613 | Gerald Allan Lea | Obstetrics & Gynecology | 6907 Burlington Pike, Florence, KY 41042 | 2006-07-25 |
| 1447216023 | Stacy Boulton | Obstetrics & Gynecology | 6907 Burlington Pike, Florence, KY 41042-1618 | 2006-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596010 | Stacey Deann Cruse | Counselor | 71 Cavalier Blvd #303, Florance, KY 41042 | 2020-07-23 |
| 1760044705 | Loretta Macaluso | Speech-Language Pathologist | 1515 Cavalry Drive, Suite 202, Florence, KY 41042 | 2019-06-29 |
| 1659879559 | Christina Shrader | Counselor | 71 Cavalier Blvd Ste 113, Florence, KY 41042 | 2018-01-25 |
| 1891200267 | Rachel Knuehl | Case Manager/Care Coordinator | 8140 Dream Street, Florence, KY 41042 | 2017-12-07 |
| 1427560697 | Marie Nicole Sartori | Nurse Practitioner | 7766 Ewing Blvd Ste 100, Florence, KY 41042 | 2017-10-27 |
| 1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
| 1306394937 | Mary Austin | Nurse Practitioner | 7766 Ewing Boulevard, Florence, KY 41042 | 2016-09-12 |
| 1598211633 | Samantha Growe | Counselor | 7000 Houston Rd Ste 16, Florence, KY 41042 | 2016-08-29 |
| 1982079299 | Jessica Adelyn Goodridge | Doula | 2224 Forest Lawn Dr., Florence, KY 41042 | 2015-12-11 |
| 1083083414 | Victoria Maruca Havron | Psychologist | 6900 Houston Rd Ste 11, Florence, KY 41042 | 2015-09-16 |
| Find all providers in zip 41042 | ||||
| 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 |
|---|---|---|---|---|
| 1447631387 | Jenna Jones Maclennan | Obstetrics & Gynecology | 101 William H Johnson St Ste 500, Florence, SC 29506-2769 | 2015-06-16 |
| 1083042709 | Shoals Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 3115 Northington Ct Ste 138, Florence, AL 35630-6352 | 2013-10-15 |
| 1447537840 | Robert Stephen Adams Sr. | Obstetrics & Gynecology | 819 S Whitehall Cir, Florence, SC 29501-8927 | 2011-11-14 |
| 1255629275 | Jennifer Christy Patchett | Obstetrics & Gynecology | 1590 Freedom Blvd Ste B, Florence, SC 29505-6071 | 2011-07-11 |
| 1508077199 | Brent J Hurd | Obstetrics & Gynecology | 1751 Veterans Drive, Suite 205, Florence, AL 35630 | 2007-05-24 |
| 1356567986 | Tiffany Katease Boyd | Obstetrics & Gynecology | 805 Pamplico Hwy Ste A, Florence, SC 29505-6047 | 2007-04-18 |
| 1336275627 | Mary Robbins | Obstetrics & Gynecology | 328 W Tennessee St, Florence, AL 35630-5421 | 2007-02-23 |
| 1881731644 | J. Marshall Dent,iii,m.d.,p.c. | Obstetrics & Gynecology | 410 S Coit St, Florence, SC 29501-4715 | 2007-01-31 |
| 1568517407 | Anu Chaudhry | Obstetrics & Gynecology | 101 William H Johnson St, Ste 360, Florence, SC 29506-2769 | 2007-01-23 |
| 1609962117 | Stephen Daniel Keith Jr. | Obstetrics & Gynecology | 541 W College St Ste 2600, Florence, AL 35630-5365 | 2006-10-04 |
| Find all providers in FLORENCE | ||||
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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.