Promedeus Medical Group, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PROMEDEUS MEDICAL GROUP, LLC

Practice address

280 S Ashland Ave
Lexington, KY 40502-1728

Phone

(956) 497-4285

NPI assigned

May 1, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jesus Tovar, MDNPI 1801059399

Title

Member

Phone

(956) 497-4285

Specialties & licenses 2

Addresses

Other names 1

• ProMEDeus, LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jesus Victor Tovar, M.D.

  • Family Medicine Physician
  • Lexington, KY
  • NPI 1801059399
  NPD Authorized official

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1023865730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 CUSTER DR STE 101",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174010",
            "telephone_number": "859-537-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 S ASHLAND AVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405021728",
            "telephone_number": "956-497-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDEUS MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "TOVAR",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "956-497-4285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMEDeus, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Shane Profio, DO
• Erna S Profitt, LSW
• Joshua Seth Profitt, PHARMD
• Tracy Profitt, NP
• Promed Preferred Ky PSC
• Proof Laboratories, LLC
• Holly Prosser, RN, BC
• Joann M Prosser, LMT
• Prosthetic and Orthotic Associates,LLC
• Prosthetic and Orthotic Limited

• Family Medicine Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.