Provider Demographics
NPI:1720035223
Name:ASSOCIATES FOR WOMEN'S CARE, P.S.C.
Entity Type:Organization
Organization Name:ASSOCIATES FOR WOMEN'S CARE, P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:S
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-381-1066
Mailing Address - Street 1:3213 SUMMIT SQUARE PL
Mailing Address - Street 2:SUITE 20
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-2636
Mailing Address - Country:US
Mailing Address - Phone:859-381-1066
Mailing Address - Fax:859-263-0650
Practice Address - Street 1:3213 SUMMIT SQUARE PL
Practice Address - Street 2:SUITE 20
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-2636
Practice Address - Country:US
Practice Address - Phone:859-381-1066
Practice Address - Fax:859-263-0650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000290315OtherANTHEM-JG
KY65939928Medicaid
KY000000290316OtherANTHEM-ES
KY00000029030OtherANTHEM GROUP #
KY7100237230OtherMEDICAID MD GROUP
KY000000310590OtherANTHEM-NS
KY7100053490OtherMEDICAID NP GROUP
KY000000290311OtherANTHEM -LB
KY000000290316OtherANTHEM-ES