NPIMap

Organization Active NPI

St Luke Hospital Inc

Doing business as St Luke Pediatric Center

  • Pediatrics Physician
  • Bellevue, KY
National Provider Identifier
1003923830
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ST LUKE HOSPITAL INC
Doing business as
St Luke Pediatric Center
Practice address
103 Landmark Dr Ste 360
Bellevue, KY 41073-1354
Phone
(859) 261-3700
Fax
(859) 261-9788
NPI assigned
Aug 25, 2006
Last updated
Jul 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. James Sommerkamp
Title
Director Finance
Phone
(859) 572-3100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary
Pediatric Nurse Practitioner 363LP0200X

Addresses

Primary practice location

103 Landmark Dr Ste 360
Bellevue, KY 41073-1354

Mailing address

103 Landmark Dr Ste 360
Bellevue, KY 41073-1354
Phone (859) 261-3700

Other identifiers 2

IdentifierTypeStateIssuer
78901709OtherKYNP GROUP KENPAC
65915621OtherKYMD GROUP KENPAC

Other names 1

  • ST LUKE PEDIATRIC CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Luke Pediatric Center12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1003923830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 LANDMARK DR STE 360",
            "city": "BELLEVUE",
            "state": "KY",
            "postal_code": "410731354",
            "telephone_number": "859-261-3700",
            "fax_number": "859-261-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 LANDMARK DR STE 360",
            "city": "BELLEVUE",
            "state": "KY",
            "postal_code": "410731354",
            "telephone_number": "859-261-3700",
            "fax_number": "859-261-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKE HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "SOMMERKAMP",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR FINANCE",
        "authorized_official_telephone_number": "859-572-3100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP GROUP KENPAC",
            "identifier": "78901709",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD GROUP KENPAC",
            "identifier": "65915621",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST LUKE PEDIATRIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.