# UNIVERSITY OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES, PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134174360
- **Authorized official:** DR. CHRISTINE LOUISE COOK M.D. (PROFESSOR AND CHAIR)
- **Authorized official phone:** (502) 271-5999

## Contact information

- **Practice address:** 401 E CHESTNUT ST, SUITE 410, LOUISVILLE, KY 40202-5700
- **Practice address phone:** (502) 271-5999
- **Practice address fax:** (502) 271-5994
- **Mailing address:** 550 S JACKSON ST, UNIVERSITY OF LOUISVILLE DEPT. OF OB/GYN, LOUISVILLE, KY 40202-1622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |
| 363LW0102X | Women's Health Nurse Practitioner | — | KY | — |

## Other

- **Enumeration date:** 05/24/2006
- **Last updated:** 10/01/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000057500 | ANTHEM | KY |
| 05 | — | 100033630 | — | IN |
| 01 | — | 1049267 | PASSPORT SPECIALTY | KY |
| 05 | — | 65900631 | — | KY |
| 05 | — | 7100023320 | — | KY |