SJL PHYSICIAN MANAGEMENT SERVICES INC. (NPI# 1710115175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710115175 |
| Entity Type | Organization |
| Organization Name | SJL PHYSICIAN MANAGEMENT SERVICES INC. |
| Other Organization Name | DBA PREMIER HEART AND VASCULAR CENTERS |
| Practice Address |
1210 W 5th St London KY 40741-2112 |
| Mailing Address |
Po Box 2638 London KY 40743-2638 |
| Practice Telephone | 6068644040 |
| Practice Fax Number | 6068643500 |
| Mailing Telephone | 6068644040 |
| Mailing Fax Number | 6068771722 |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2010-02-25 |
| Authorized Official Name | CARMEL JONES (VP REVENUE CYCLE & BUSINESS SERVICE) |
| Authorized Official Telephone | 6068773918 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
KY | Allopathic & Osteopathic Physicians | |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
KY | Allopathic & Osteopathic Physicians | |
| N | 363A00000X | Physician Assistant | KY | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363L00000X | Nurse Practitioner | KY | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | CHI | C21207 | 01 |
| KY | ANTHEM BCBS PIN | 000000638615 | 01 |
| Other Name | Type Code |
|---|---|
| dba Premier Heart and Vascular Centers | Doing Business As Name - Organization |
| Street Address |
1210 W 5TH ST |
| City | LONDON |
| State | KY |
| Zip Code | 40741-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487648200 | The Medical Specialists of Ky, Psc | Physician Assistant | 1210 W 5th St, London, KY 40741-2112 | 2005-09-08 |
| 1164973798 | Randall Mills | Physician Assistant | 1210 W 5th St, London, KY 40741-2112 | 2016-10-19 |
| 1750749065 | Sabrina Lambert | Nurse Practitioner | 1210 W 5th St, London, KY 40741-2112 | 2016-02-01 |
| 1508157223 | Saint Joseph Medical Foundation, Inc | Internal Medicine | 1210 W 5th St, London, KY 40741-2112 | 2011-04-28 |
| 1235429788 | Saint Joseph Medical Foundation, Inc | Nurse Practitioner | 1210 W 5th St, London, KY 40741-2112 | 2011-04-18 |
| 1750698866 | Dana E Campbell | Physician Assistant | 1210 W 5th St, London, KY 40741-2112 | 2010-09-10 |
| 1619200151 | Marymount Medical Center Physician Services | Internal Medicine | 1210 W 5th St, London, KY 40741-2112 | 2009-09-16 |
| 1790916468 | Cristina Cabral Pauig | Internal Medicine | 1210 W 5th St, London, KY 40741-2112 | 2009-07-29 |
| 1174751259 | Sjl Physician Management Services, Inc. | Physician Assistant | 1210 W 5th St, London, KY 40741-2112 | 2009-06-26 |
| 1992948848 | Cumberland Clinic Pllc | Nurse Practitioner | 1210 W 5th St, London, KY 40741-2112 | 2009-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841244 | Emily Anne Simmons | Pharmacist | 1851 West Hwy 192, London, KY 40741 | 2020-11-06 |
| 1871104364 | Jarrod Lee Napier | Optometrist | 103 Chera Lyn Ln, London, KY 40741 | 2020-08-10 |
| 1295378792 | Rebekah Virginia Elaine Cloud | Nurse Practitioner | 1649 Ky- 192 W, London, KY 40741 | 2019-10-28 |
| 1215416581 | Mary Jean Nolan | Nurse Practitioner | 1649 W. Hwy 192, London, KY 40741 | 2018-08-08 |
| 1558849620 | Pinnacle Treatment Centers Ky-1, LLC | Substance Abuse Rehabilitation Facility | 312 Carrera Drive, London, KY 40741 | 2018-08-01 |
| 1710463435 | Pinnacle Treatment Centers Ky-i, LLC | Substance Abuse Rehabilitation Facility | 300 Carrera Drive, London, KY 40741 | 2018-07-16 |
| 1720591076 | Hillary Clark | Nurse Practitioner | 192 London Shopping Ctr Ste 2, London, KY 40741 | 2017-11-08 |
| 1760901979 | Ariel Siler | Counselor | 454 N. Mcwhorter St., Suite 1, London, KY 40741 | 2017-09-19 |
| 1598287161 | Young Smiles,llc | Clinic/Center | 324 Holly Lane, London, KY 40741 | 2017-07-14 |
| 1952727505 | Renew Recovery, LLC | Substance Abuse Rehabilitation Facility | 2645 N Laurel Rd Ste B, London, KY 40741 | 2014-03-06 |
| Find all providers in zip 40741 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437143260 | Satyabrata Chatterjee | Internal Medicine | 73 Thompson Poynter Rd Ste D, London, KY 40741 | 2005-09-08 |
| 1124458252 | Good Heart Corporation | Internal Medicine | 73 Thompson Poynter Rd, Suite C, London, KY 40741-7202 | 2013-11-27 |
| 1821426941 | Chatterjee Cardiology Pllc | Internal Medicine | 73 Thompson Poynter Road, Suite D, London, KY 40741-1615 | 2013-10-29 |
| 1043553878 | Baptist Physicians Lexington, Inc | Internal Medicine | 100 Professional Dr, London, KY 40741-8844 | 2013-03-29 |
| 1790916468 | Cristina Cabral Pauig | Internal Medicine | 1210 W 5th St, London, KY 40741-2112 | 2009-07-29 |
| 1770749103 | Cardiovascular Specialists of The Cumberlands Pllc | Internal Medicine | 1406 W 5th St, Suite 3, London, KY 40741-1688 | 2008-08-05 |
| 1326229352 | Lekshmi Seemanthini | Internal Medicine | 1210 W 5th St, London, KY 40741-2112 | 2007-11-19 |
| 1831382399 | Syed Shabbir Ijaz Bokhari | Internal Medicine | 1210 W 5th St, London, KY 40741-2112 | 2007-08-19 |
| 1295942803 | M.a. Jan, M.d., Inc | Internal Medicine | 214 Elm St, London, OH 43140-2131 | 2007-05-16 |
| 1376653634 | Mirza W Ahmed | Internal Medicine | 1210 W 5th St, Suite 100, London, KY 40741-2112 | 2006-08-30 |
| Find all providers in LONDON | ||||
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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.