MERCY HEALTH PARTNERS - LOURDES HOSPITAL (NPI# 1356519508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356519508 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH PARTNERS - LOURDES HOSPITAL |
| Other Organization Name | LOURDES PHYSICIAN SERVICES |
| Practice Address |
1530 Lone Oak Rd. Suite 345 Paducah KY 42003 |
| Mailing Address |
1530 Lone Oak Rd. Paducah KY 42001 |
| Practice Telephone | 2704426161 |
| Practice Fax Number | 2704426294 |
| Mailing Telephone | 2705385663 |
| Mailing Fax Number | 2704426294 |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2009-05-01 |
| Authorized Official Name | ROBYN B. DUNCAN (CREDENTIALING AGENT.) |
| Authorized Official Telephone | 2704426161 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY HEALTH PARTNERS - LOURDES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65927394 | 05 |
| Other Name | Type Code |
|---|---|
| Lourdes Physician Services | Doing Business As Name - Organization |
| Street Address |
1530 LONE OAK RD. SUITE 345 |
| City | PADUCAH |
| State | KY |
| Zip Code | 42003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757638 | Wilson Medical Staffing Pllc | Nurse Practitioner | 3130 Lone Oak Rd, Paducah, KY 42003 | 2019-12-13 |
| 1417415993 | Lauren Deanne Mcclain | Nurse Practitioner | 225 Medical Center Dr Ste 205, Paducah, KY 42003 | 2019-03-04 |
| 1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
| 1831611219 | Elizabeth Anne Wright | Social Worker | 425 Broadway Street, Paducah, KY 42003 | 2017-07-07 |
| 1558804724 | Kayla Reshea Franklin | Behavior Technician | 2075 Husband Road, Paducah, KY 42003 | 2016-11-21 |
| 1699189308 | Sunrise Children's Services, Inc. | Foster Care Agency | 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 | 2014-06-20 |
| 1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
| 1881924611 | Meghan Ashley Lee | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 | 2009-12-29 |
| 1174771018 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Drive, Paducah, KY 42003 | 2008-09-04 |
| 1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
| Find all providers in zip 42003 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902380082 | Rheumatology Specialists of Paducah | Physician Assistant | 100 Kiana Ct Ste B, Paducah, KY 42001-6787 | 2018-09-24 |
| 1750496378 | Timothy K Jennings | Physician Assistant | 200 Clint Hill Blvd, Paducah, KY 42001-6768 | 2006-08-21 |
| 1952373854 | Deborah Ann French | Physician Assistant | 2605 Kentucky Ave Ste 402, Paducah, KY 42003-3803 | 2006-02-03 |
| 1669475463 | April D. Dunning | Physician Assistant | 548 Lone Oak Rd, Paducah, KY 42003-4538 | 2005-05-24 |
| 1881256634 | Leslie Lynne Hunt | Physician Assistant | 1530 Lone Oak Rd, Paducah, KY 42003-7901 | 2019-07-02 |
| 1306309083 | Jamie Pepi Shelstad | Physician Assistant | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2019-04-10 |
| 1164936928 | Christopher W Pope | Physician Assistant | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2017-11-30 |
| 1124544150 | Derek N Nance | Physician Assistant | 1530 Lone Oak Rd, Paducah, KY 42003-7901 | 2017-08-22 |
| 1003339920 | Derick Thomas | Physician Assistant | 4787 Alben Barkley Dr, Paducah, KY 42001-6789 | 2017-07-23 |
| 1306396486 | Justin Damron | Physician Assistant | 4787 Alben Barkley Dr, Paducah, KY 42001-6789 | 2016-10-12 |
| Find all providers in PADUCAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.