Provider Demographics
NPI:1083652671
Name:ASSOCIATES IN OBSTETRICS AND GYNECOLOGY OF LOUISVILLE, PLLC
Entity Type:Organization
Organization Name:ASSOCIATES IN OBSTETRICS AND GYNECOLOGY OF LOUISVILLE, PLLC
Other - Org Name:ASSOCIATES IN OB/GYN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:REINSTINE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-899-6700
Mailing Address - Street 1:4121 DUTCHMANS LN
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4707
Mailing Address - Country:US
Mailing Address - Phone:502-899-6700
Mailing Address - Fax:502-899-6753
Practice Address - Street 1:4121 DUTCHMANS LN
Practice Address - Street 2:SUITE 300
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4707
Practice Address - Country:US
Practice Address - Phone:502-899-6700
Practice Address - Fax:502-899-6753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY3863Medicare PIN
3861Medicare PIN
KY3862Medicare PIN