Organization Active NPI

SJL Physician Management Services, Inc.

Doing business as dba Premier Heart & Vascular Centers ARNP Group

  • Nurse Practitioner
  • London, KY
National Provider Identifier
1174751259
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
SJL PHYSICIAN MANAGEMENT SERVICES, INC.
Doing business as
dba Premier Heart & Vascular Centers ARNP Group
Practice address
1210 W 5TH St
London, KY 40741-2112
Phone
(606) 864-4040
Fax
(606) 864-3500
NPI assigned
Jun 26, 2009
Last updated
Sep 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Authorized official

Name
Carmel Jones, CPA
Title
VP Revenue Cycle & Business Service
Phone
(606) 877-3918

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X KY
Nurse Practitioner 363L00000X KY Primary

Addresses

Primary practice location

1210 W 5TH St
London, KY 40741-2112

Mailing address

PO Box 2638
London, KY 40743-2638
Phone (606) 864-8643

Other names 1

  • dba Premier Heart & Vascular Centers ARNP Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1174751259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2638",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407432638",
            "telephone_number": "606-864-8643",
            "fax_number": "606-877-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W 5TH ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407412112",
            "telephone_number": "606-864-4040",
            "fax_number": "606-864-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJL PHYSICIAN MANAGEMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-26",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CARMEL",
        "authorized_official_title_or_position": "VP REVENUE CYCLE & BUSINESS SERVICE",
        "authorized_official_telephone_number": "606-877-3918",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Premier Heart & Vascular Centers ARNP Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.