JENNIE STUART MEDICAL CENTER (NPI# 1740347244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740347244 |
| Entity Type | Organization |
| Organization Name | JENNIE STUART MEDICAL CENTER |
| Other Organization Name | CARIDIOLOGY PROFESSIONAL SERVICES |
| Practice Address |
320 W 18th St Hopkinsville KY 42240-1965 |
| Mailing Address |
Po Box 2400 Hopkinsville KY 42241-2400 |
| Practice Telephone | 2708870100 |
| Practice Fax Number | 2708870425 |
| Mailing Telephone | 2708870100 |
| Mailing Fax Number | 2708870425 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DONNA RUSSELL (DIRECTOR PATIENT FINANCIAL SERVICES) |
| Authorized Official Telephone | 2708870100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | BLUE CROSS PROVIDER NUMBE | 000000212362 | 01 |
| KY | 65939332 | 05 |
| Other Name | Type Code |
|---|---|
| Caridiology Professional Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538222500 | Jennie Stuart Medical Center | Home Health | 327 West 18th St, Suite D, Hopkinsville, KY 42240 | 2006-12-19 |
| 1235139312 | Jennie Stuart Medical Center | Clinical Nurse Specialist | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2005-07-29 |
| 1487184453 | Jennie Stuart Medical Center | Psychiatric Unit | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2017-06-13 |
| 1790086767 | Jennie Stuart Medical Center | Physician Assistant | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2010-11-08 |
| 1750619045 | Jennie Stuart Medical Center | Hospitalist | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2009-11-24 |
| 1144372749 | Jennie Stuart Medical Center | Surgery | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2007-01-17 |
| 1205993920 | Jennie Stuart Medical Center | Surgery | 320 W 18th St, Hopkinsville, KY 42241-2400 | 2007-01-02 |
| 1164589842 | Jennie Stuart Medical Center | Family Medicine | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2007-01-02 |
| 1598708836 | Jennie Stuart Medical Center | Pharmacy | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2006-06-14 |
| Street Address |
320 W 18TH ST |
| City | HOPKINSVILLE |
| State | KY |
| Zip Code | 42240-1965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235139312 | Jennie Stuart Medical Center | Clinical Nurse Specialist | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2005-07-29 |
| 1487294070 | Pamala Hague | Pharmacist | 320 W 18th St, Hopkinsville, KY 42240-6304 | 2020-01-10 |
| 1336790260 | Amanda Rae Rogers | Registered Nurse | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2019-09-23 |
| 1982252748 | Elizabeth Gill | Nurse Practitioner | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2019-08-26 |
| 1497259576 | Danielle Craig Davis | Pharmacist | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2018-03-22 |
| 1548764699 | Ann Tach | Pharmacist | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2018-03-22 |
| 1598278087 | Dennis Dale Barnes Jr. | Nurse Practitioner | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2017-11-07 |
| 1487184453 | Jennie Stuart Medical Center | Psychiatric Unit | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2017-06-13 |
| 1518493840 | Sean Christopher Mullins | Internal Medicine | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2017-05-05 |
| 1073052015 | Timothy France | Pharmacist | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2017-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689214264 | Joshua Brian Yates | Pharmacist | 320 West 18th Street, Hopkinsville, KY 42240 | 2020-01-10 |
| 1629540950 | John J Tomasic | Nurse Practitioner | Jennie Stuart Medical Center, 320 W 18th Street, Hopkinsville, KY 42240 | 2018-12-27 |
| 1669962866 | Jeri Lynn Richardson | Developmental Therapist | 119 Forbes Dr, Hopkinsville, KY 42240 | 2018-05-14 |
| 1619416039 | Esther Caro | Case Manager/Care Coordinator | 400a Hammond Plz, Hopkinsville, KY 42240 | 2017-02-17 |
| 1780126532 | Jennifer R. Koranyi | Social Worker | 737b North Dr, Hopkinsville, KY 42240 | 2016-11-10 |
| 1043760937 | Inspira Therapy | Speech-Language Pathologist | 1110 South Main Street, Suite B, Hopkinsville, KY 42240 | 2016-10-04 |
| 1689026049 | Judy Greene Dba Greene Physical Therapy Services | Physical Therapist | 1910 South Virginia Ste., Ste. 108, Hopkinsville, KY 42240 | 2016-07-11 |
| 1083094932 | Cornell Memory Center | Clinic/Center | 101 North Drive, Hopkinsville, KY 42240 | 2015-06-05 |
| 1679978746 | Maulik V Patel | Pharmacist | 2713 A Fort Campbell Blvd, Hopkinsville, KY 42240 | 2014-10-30 |
| 1245630896 | Haregewoin Ezezew Baye | Dentist | 300 Cool Water Ct, Hopkinsville, KY 42240 | 2014-09-02 |
| Find all providers in zip 42240 | ||||
| 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 |
|---|---|---|---|---|
| 1740246289 | Venkateswara Velaga | Internal Medicine | 1600 Canton St, Hopkinsville, KY 42240-1924 | 2006-04-25 |
| 1295749042 | Dr Rao Velaga Psc | Internal Medicine | 1600 Canton St, Hopkinsville, KY 42240-1924 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881182657 | Have A Heart Foundation Inc | Internal Medicine | 310 E Broadway Ste 100, Louisville, KY 40202-1745 | 2018-04-27 |
| 1104356567 | Mmr Cardiovascular Consulting LLC | Internal Medicine | 1101 Glenlake Way, Louisville, KY 40245 | 2017-06-18 |
| 1992246953 | Northeast Cardiology Pllc | Internal Medicine | 1313 St.anthony Place, Louisville, KY 40204-0130 | 2017-03-10 |
| 1619325719 | Bluegrass Vascular Institute | Internal Medicine | 101 Financial Dr, Suite B103, Elizabethtown, KY 42701 | 2016-05-31 |
| 1427410596 | Lauren Albers | Internal Medicine | 550 South Jackson St, Louisville, KY 40202 | 2016-03-28 |
| 1396138202 | Louisville Cardiovascular Care Pllc | Internal Medicine | 1411 Hadleigh Pl, Louisville, KY 40222-5652 | 2015-03-17 |
| 1629481270 | Harleen Chahil | Internal Medicine | 201 Abraham Flexner Way Ste 600, Louisville, KY 40202-3841 | 2014-06-10 |
| 1710329776 | Jovil Kannampuzha | Internal Medicine | 1300 Merritt Dr Ste 110, Henderson, KY 42420-2788 | 2013-07-19 |
| 1972842201 | Francis Attah Benn | Internal Medicine | 900 S Limestone Ctw 326, Lexington, KY 40536-3609 | 2013-02-06 |
| 1578827630 | Ahmad Ramy Elashery | Internal Medicine | 900 S Limestone St Ctw 326, Lexington, KY 40536-5805 | 2012-07-03 |
| Find all providers with the same taxonomy | ||||
| City | HOPKINSVILLE |
| Zip Code | 42240 |
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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.