Active NPI
Saint Joseph Medical Foundation, Inc
- Internal Medicine Physician
- Berea, KY
National Provider Identifier
1144523911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SAINT JOSEPH MEDICAL FOUNDATION, INC
- Practice address
- 305 Estill St
Berea, KY 40403-1742 - Phone
- (859) 986-3151
- NPI assigned
- Dec 16, 2010
- Organization subpart
- Yes
- Parent organization
- ST JOSEPH MEDICAL FOUNDATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Carmel Jones
- Title
- VP and Chief Operating Officer
- Phone
- (606) 309-5506
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Physician Assistant | 363A00000X | PA1195 | KY |
Addresses
Primary practice location
305 Estill St
Berea, KY 40403-1742
Mailing address
PO Box 73652
Cleveland, OH 44193-0002
Phone (859) 313-2758
Other names 1
- Berea Hospitalists
National Provider Directory
National Provider Directory- Part of
- Saint Joseph Med FND Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375747200000",
"number": "1144523911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 73652",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441930002",
"telephone_number": "859-313-2758",
"fax_number": "859-276-5939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 ESTILL ST",
"city": "BEREA",
"state": "KY",
"postal_code": "404031742",
"telephone_number": "859-986-3151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAINT JOSEPH MEDICAL FOUNDATION, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST JOSEPH MEDICAL FOUNDATION",
"enumeration_date": "2010-12-16",
"last_updated": "2013-08-06",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "CARMEL",
"authorized_official_title_or_position": "VP AND CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "606-309-5506",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA1195",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Berea Hospitalists",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Berea, KY
- Saint Joseph Health System Inc.
- Saint Joseph Health System, Inc
- Saint Joseph Health System, Inc
- Saint Joseph Medical Foundation, Inc
- Saint Joseph Medical Foundation, Inc
- Saint Joseph Medical Foundation, Inc
- Saint Joseph Medical Foundation, Inc.
- Lauren Saldanha, LLMSW, CSW
- George Louis Schloemer, MD
- Anna A. Schoeneman, MSN, APRN-BC, PMHNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.