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Organization Active NPI

Saint Joseph Health System Inc

Doing business as Saint Joseph ENT Center

  • Otolaryngology Physician
  • London, KY
National Provider Identifier
1134553902
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
SAINT JOSEPH HEALTH SYSTEM INC
Doing business as
Saint Joseph ENT Center
Practice address
1406 W 5TH St Ste 1
London, KY 40741-1688
Phone
(606) 877-4579
Fax
(606) 330-6711
NPI assigned
Aug 28, 2013
Last updated
Aug 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Authorized official

Name
Christy Spitser
Title
Authorized Official
Phone
(606) 877-4579

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Otolaryngology Physician 207Y00000X Primary
Audiologist 231H00000X

Addresses

Primary practice location

1406 W 5TH St Ste 1
London, KY 40741-1688

Mailing address

1406 W 5TH St Ste 1
London, KY 40741-1688
Phone (606) 877-4579

Other practice location 1

120 N Eagle Creek Dr
Ste 102
Lexington, KY 40509
Phone (859) 629-7140

Other names 1

  • Saint Joseph ENT Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131227001808 KY Part B Supplier - Clinic/Group Practice 4183641400 Receives reassigned benefits from 6 practitioners
Practice locations: Lexington, KY; London, KY

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

National Provider Directory

National Provider Directory

Locations

1025 Saint Joseph Ln
#2
London, KY 40741

1025 Saint Joseph Ln
Fl 2
London, KY 40741

1406 W 5th St
Ste 1
London, KY 40741
Phone (606) 877-4579

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Continuing Care Hospital IncLexington, KY, CCN 182002 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 30, 1998
CHI Saint Joseph BereaBerea, KY, CCN 181329 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012
CHI Saint Joseph LondonLondon, KY, CCN 180011 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2008
CHI Saint Joseph Berea NFBerea, KY, CCN 18Z329 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1134553902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 W 5TH ST STE 1",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411688",
            "telephone_number": "606-877-4579",
            "fax_number": "606-330-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 W 5TH ST STE 1",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411688",
            "telephone_number": "606-877-4579",
            "fax_number": "606-330-6711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 N Eagle Creek Dr",
            "address_2": "Ste 102",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "40509",
            "country_code": "US",
            "telephone_number": "859-629-7140",
            "fax_number": "859-629-7137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAINT JOSEPH HEALTH SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "SPITSER",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "606-877-4579"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Joseph ENT Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Saint Joseph ENT Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.