TRI COUNTY OB GYN ASSOCIATES PLC LLC (NPI# 1649349911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649349911 |
| Entity Type | Organization |
| Organization Name | TRI COUNTY OB GYN ASSOCIATES PLC LLC |
| Practice Address |
1023 New Moody Lane Tri County Ob Gyn Associates Inc Suite 103 La Grange KY 40031-9179 |
| Mailing Address |
1023 New Moody Ln Ste 103 La Grange KY 40031-9179 |
| Practice Telephone | 5022225558 |
| Practice Fax Number | 5022223040 |
| Mailing Telephone | 5022225558 |
| Mailing Fax Number | 5022223040 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2017-03-22 |
| Authorized Official Name | TIMOTHY STEWART SPAULDING (PARTNER) |
| Authorized Official Telephone | 5022225558 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65935884 | 05 | |
| KY | AMERIHEALTH | 1149112 | 01 |
| KY | PASSPORT ADVANTAGE | 2438489000 | 01 |
| Street Address |
1023 NEW MOODY LANE TRI COUNTY OB GYN ASSOCIATES INC SUITE 103 |
| City | LA GRANGE |
| State | KY |
| Zip Code | 40031-9179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723089 | Nancee L Berling | Registered Nurse | 1914 Miller Ln, La Grange, KY 40031 | 2018-06-06 |
| 1134643000 | Zachary Byrne | Dentist | 3108 S. Hwy 53, Lagrange, KY 40031 | 2017-08-01 |
| 1609399971 | Walgreen Co | Pharmacy | 408 Oldham Plaza, La Grange, KY 40031 | 2017-07-19 |
| 1447790886 | Carolyn Marie Burton | Speech-Language Pathologist | 4603 Timber Walk Ct., Lagrange, KY 40031 | 2017-03-05 |
| 1699145466 | Janet Frager | Nurse Practitioner | 1023 New Moody Ln Ste 101, La Grange, KY 40031 | 2015-10-05 |
| 1730559188 | Amanda Lynn Drawbaugh | Physical Therapist | Ascb Therapy, 4603 Timber Walk Ct., Lagrange, KY 40031 | 2015-09-29 |
| 1407250483 | Aaron Mangum | Specialist/Technologist | 2850 Jericho Road, Lagrange, KY 40031 | 2014-10-20 |
| 1073944500 | Tamara Thomas | Case Manager/Care Coordinator | 4121 Spencer Ct, Lagrange, KY 40031 | 2013-12-10 |
| 1669643854 | Alisa Marie Skinner | Physical Therapist | 618 Kentucky Ave, Lagrange, KY 40031 | 2008-03-17 |
| 1245410711 | Jennifer Lee Thomas | Nurse Practitioner | 1015 New Moody Lane, Lagrange, KY 40031 | 2007-11-13 |
| Find all providers in zip 40031 | ||||
| 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 |
|---|---|---|---|---|
| 1063454387 | Adventist Health Partners,inc | Obstetrics & Gynecology | 5201 S. Willow Springs Rd, Ste 120, La Grange, IL 60525 | 2006-06-12 |
| 1104818624 | Shannon M Juno | Obstetrics & Gynecology | 1720 Von Minden Rd, La Grange, TX 78945-2419 | 2005-08-19 |
| 1275714503 | Shannon M Juno M.d. P.a. | Obstetrics & Gynecology | 1720 Von Minden Rd, La Grange, TX 78945-2419 | 2007-11-15 |
| 1144395286 | Bluegrass Womens Center Pllc | Obstetrics & Gynecology | 120 E Adams St, Suite 6, La Grange, KY 40031-1278 | 2006-11-22 |
| 1053393348 | Tristan Robert Schultis | Obstetrics & Gynecology | 2 Saint Marks Pl, Suite 104, La Grange, TX 78945-1251 | 2005-11-14 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.