SAINT JOSEPH HEALTH SYSTEM INC (NPI# 1720211774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720211774 |
| Entity Type | Organization |
| Organization Name | SAINT JOSEPH HEALTH SYSTEM INC |
| Other Organization Name | SAINT JOSEPH MARTIN PHYSICIANS |
| Practice Address |
11203 Main Street Martin KY 41649-0910 |
| Mailing Address |
Po Box 936 London KY 40743-0936 |
| Practice Telephone | 6062856400 |
| Practice Fax Number | 6062856629 |
| Mailing Telephone | 6063307840 |
| Mailing Fax Number | 6063307825 |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2017-12-12 |
| Authorized Official Name | MRS. CHRISTY SPITSER (VP OF FINANCE) |
| Authorized Official Telephone | 8593131694 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAINT JOSEPH HEALTH SYSTEM INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65927568 | 05 |
| Other Name | Type Code |
|---|---|
| SAINT JOSEPH MARTIN PHYSICIANS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134553902 | Saint Joseph Health System Inc | Audiologist | 1406 W 5th St Ste 1, London, KY 40741-1688 | 2013-08-28 |
| 1861621302 | Saint Joseph Health System Inc | Clinic/Center | 1403 Ky Rt 306, Suite 102, Wheelwright, KY 41669 | 2009-07-06 |
| 1558386193 | Saint Joseph Health System Inc | Clinic/Center | 9350 Us Highway 23 South, Ste3, Stanville, KY 41659-9047 | 2006-07-13 |
| 1881626844 | Saint Joseph Health System Inc | Clinic/Center | 1403 Ky Rte 306, Ste102, Wheelwright, KY 41669-1900 | 2006-07-07 |
| 1184651994 | Saint Joseph Health System Inc | Clinic/Center | 11087 Main Street, Martin, KY 41649-7999 | 2006-06-27 |
| 1720086176 | Saint Joseph Health System Inc | Emergency Medicine | 11203 Main St, Martin, KY 41649-7999 | 2005-07-11 |
| 1992701429 | Saint Joseph Health System Inc | General Acute Care Hospital | 1001 Saint Joseph Ln, London, KY 40741-8345 | 2005-06-21 |
| 1215227012 | Saint Joseph Health System Inc | Clinical Medical Laboratory | 1 Saint Joseph Dr, Lexington, KY 40504-3742 | 2011-04-13 |
| 1508198557 | Saint Joseph Health System Inc | Clinic/Center | 701 Bob O Link Dr Ste 120, Lexington, KY 40504-3760 | 2010-02-02 |
| 1952530495 | Saint Joseph Health System Inc | Clinic/Center | 12579 Main Street, Martin, KY 41649-0910 | 2009-07-06 |
| Street Address |
11203 MAIN STREET |
| City | MARTIN |
| State | KY |
| Zip Code | 41649-0910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144209925 | William H. Smith-mensah | Emergency Medicine | 11203 Main Street, Martin, KY 41649-0910 | 2006-01-11 |
| 1063818987 | Alanna M Cline | Pharmacist | 11203 Main Street, Martin, KY 41649-0910 | 2014-11-05 |
| 1790106086 | Shawna Elliott | Pharmacist | 11203 Main Street, Martin, KY 41649 | 2014-01-03 |
| 1164662508 | Vijaya Rama Ammisetty | Family Medicine | 11203 Main Street, Martin, KY 41649-0910 | 2009-02-25 |
| 1063611218 | Saint Joseph Health System Inc | Long Term Care Hospital | 11203 Main Street, Martin, KY 41649 | 2007-07-17 |
| 1255357364 | Our Lady of The Way Hospital, Inc | Nurse Anesthetist, Certified Registered | 11203 Main Street, Martin, KY 41649-0910 | 2006-07-14 |
| 1487688511 | Saint Joseph Health System Inc | Clinic/Center | 11203 Main Street, Martin, KY 41649-0910 | 2006-07-11 |
| 1194767095 | Howard Newmark | Emergency Medicine | 11203 Main Street, Martin, KY 41649-0910 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710531017 | Taylor Leigh Mcfadden | Dentist | 265 Ky Route 122, Suite 2, Martin, KY 41649 | 2019-07-25 |
| 1487165478 | Tpc Martin Inc | Pharmacy | 1102 Kentucky Rt 122, Martin, KY 41649 | 2017-10-17 |
| 1962957431 | Tpc Martin Inc | Pharmacy | 1102 Kentucky Route 122, Martin, KY 41649 | 2016-08-24 |
| 1174991962 | Charla Lynn Burgett | Pharmacist | 90 Triangle St., Martin, KY 41649 | 2015-09-10 |
| 1275885832 | Janey Lynn Watts | Family Medicine | 263 Ky Route 122 Ste C, Martin, KY 41649 | 2012-10-08 |
| 1700038247 | Leigh Danielle Hamilton | Pharmacist | 262 Ky Route 122, Martin, KY 41649 | 2008-10-15 |
| 1578738944 | Floyd County Health Department | Public Health or Welfare | 481 Stephens Road, Martin, KY 41649 | 2008-04-28 |
| 1538333828 | Joshua Slone | Counselor | 11206 Main Street, Martin, KY 41649 | 2008-04-17 |
| 1073737722 | Susan Mayo Hamilton | Speech-Language Pathologist | 481 Stephens Branch Road, Martin, KY 41649 | 2007-04-12 |
| 1760528905 | Olin Andrew Elliott II | Dentist | 196 Ky Hwy 3188, Martin, KY 41649 | 2007-01-29 |
| Find all providers in zip 41649 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073013306 | Fast Pace Medical Clinic LLC | Family Medicine | 108 Courtright Rd, Martin, TN 38237-1607 | 2018-02-13 |
| 1275885832 | Janey Lynn Watts | Family Medicine | 263 Ky Route 122 Ste C, Martin, KY 41649 | 2012-10-08 |
| 1295802619 | Weber Medical Services PC | Family Medicine | 109 Pugh Street, Martin, SD 57551-0370 | 2006-11-29 |
| 1649214362 | Larry Alvin Weitzenkamp | Family Medicine | 109 Pugh St, Martin, SD 57551-0370 | 2006-06-15 |
| 1376506535 | Prem Shankar Verma | Family Medicine | 11176 Main St, Martin, KY 41649-7999 | 2006-04-10 |
| 1952378408 | Karen S.p. Eschedor | Family Medicine | 4948 Gumlog Rd, Martin, GA 30557-2921 | 2006-03-03 |
| 1801886064 | Michael John Medeck | Family Medicine | 302 1st Ave., Martin, SD 57551 | 2005-10-27 |
| 1396738266 | Kenneth W Carr | Family Medicine | 115 Mount Pelia Rd, Martin, TN 38237-3315 | 2005-08-25 |
| 1467458034 | Gopal R Majmundar | Family Medicine | 11217 Main Street, Martin, KY 41649-0828 | 2005-06-28 |
| 1447254164 | Audie B Marlar Jr. | Family Medicine | 117 Kennedy Dr, Martin, TN 38237-3309 | 2005-06-10 |
| Find all providers in MARTIN | ||||
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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.