Saint Joseph London Physician Services | |
1001 Saint Joseph Ln London KY 40741-8345 | |
(606) 330-6000 | |
Not Available |
Full Name | Saint Joseph London Physician Services |
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Speciality | Pediatrics |
Location | 1001 Saint Joseph Ln, London, Kentucky |
Authorized Official Name and Position | Christy Spitser (VP OF FINANCE) |
Authorized Official Contact | 8593131694 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Saint Joseph London Physician Services Po Box 936 London KY 40743-0936 Ph: (606) 330-7835 | Saint Joseph London Physician Services 1001 Saint Joseph Ln London KY 40741-8345 Ph: (606) 330-6000 |
NPI Number | 1164854675 |
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Provider Enumeration Date | 08/07/2013 |
Last Update Date | 01/29/2024 |
Medicare PECOS PAC ID | 4183641400 |
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Medicare Enrollment ID | O20131214000039 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164854675 | NPI | - | NPPES |
7100352490 (CRNA) | Medicaid | KY | |
7100276000 (MD) | Medicaid | KY |
Provider Name | Kimberly Cesario |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467401083 PECOS PAC ID: 3779510144 Enrollment ID: I20050719000047 |
Provider Name | Paula Dix Johnson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457360398 PECOS PAC ID: 7214934520 Enrollment ID: I20061030000510 |
Provider Name | Barry White |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609879758 PECOS PAC ID: 1850369679 Enrollment ID: I20070328000053 |
Provider Name | Robin R House |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003008095 PECOS PAC ID: 3678666054 Enrollment ID: I20070830000131 |
Provider Name | Teresa Lynn Parker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669671863 PECOS PAC ID: 2769576099 Enrollment ID: I20070918000371 |
Provider Name | Janey Phipps |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245328319 PECOS PAC ID: 2860554128 Enrollment ID: I20081219000390 |
Provider Name | Donnie W Bunch |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609034420 PECOS PAC ID: 3072650241 Enrollment ID: I20091020000435 |
Provider Name | Farhan Javaid |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417966425 PECOS PAC ID: 3274508809 Enrollment ID: I20091215000660 |
Provider Name | Jessica D Lamb |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841604576 PECOS PAC ID: 0941426969 Enrollment ID: I20140729001038 |
Provider Name | Tosha Thomas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558767939 PECOS PAC ID: 2769709047 Enrollment ID: I20150325001984 |
Provider Name | Carmel Hensley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174918544 PECOS PAC ID: 2264732569 Enrollment ID: I20151118000407 |
Provider Name | Megan R Reynolds |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265976138 PECOS PAC ID: 2668755661 Enrollment ID: I20170217001687 |
Provider Name | Candice Fox |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417591918 PECOS PAC ID: 5193158707 Enrollment ID: I20191211002502 |
Provider Name | Denise Nicole Maynes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558917849 PECOS PAC ID: 6204256027 Enrollment ID: I20201016001563 |
Provider Name | Regina Kaur |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881121077 PECOS PAC ID: 5395084057 Enrollment ID: I20220926001420 |
Provider Name | Alexis Paige Mcwhorter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871288357 PECOS PAC ID: 1254796683 Enrollment ID: I20230508001413 |
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