# THE UNIVERSITY GYNECOLOGICAL & OBSTETRICAL FOUNDATION, INC.

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

## Provider details

- **NPI number:** 1497700587
- **Authorized official:** DR. CHRISTINE COOK M.D. (PROFESSOR AND CHAIR)
- **Authorized official phone:** (502) 561-8850

## Contact information

- **Practice address:** 550 S JACKSON ST, 3RD FLOOR, LOUISVILLE, KY 40202-1622
- **Practice address phone:** (502) 561-8850
- **Mailing address:** 550 S JACKSON ST, ATTN: VICKI MASTERSON UNIVERSITY OF LOUISVILLE, LOUISVILLE, KY 40202-1622

## Taxonomy

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

## Other

- **Enumeration date:** 05/24/2006
- **Last updated:** 08/14/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000058997 | ANTHEM | KY |
| 05 | — | 100004330 | — | IN |
| 01 | — | 1049254 | PASSPORT SPECIALTY GROUP NUMBER | KY |
| 01 | — | 1051458 | PASSPORT PRIMARY CARE GROUP NUMBER | KY |
| 05 | — | 65907222 | — | KY |
| 05 | — | 789038200 | — | KY |