John Kenyon American Eye Institute, LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

JOHN KENYON AMERICAN EYE INSTITUTE, LLC

Practice address

2000 Tunnel Hill Rd
Elizabethtown, KY 42701-8025

Phone

(270) 304-2520

Fax

(270) 304-2519

NPI assigned

Dec 9, 2020

Organization subpart

Yes

Parent organization

JOHN KENYON AMERICAN EYE INSTITUTE, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Joseph P. Gira, MD

Title

Owner/Manager

Phone

(270) 304-2520

Specialties & licenses 1

Addresses

Other names 1

• Eye Surgery Center of Elizabethtown Doing business as

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• John Kenyon American Eye Institute LLC

  • Ambulatory Surgical Clinic/Center
  • Elizabethtown, KY
  • NPI 1013513308

  O20210324003191

  Same enrollment

Tax ID family

American Eye Institute PC3 organizations share this tax ID, including this one

Part of

American Eye Institute PC

Other organizations with this tax ID 2

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

• John Kenyon American Eye Institute LLC

  • Ambulatory Surgical Clinic/Center
  • Elizabethtown, KY
  • NPI 1013513308
  NPD tax ID
• John Kenyon American Eye Institute LLC

  • Ophthalmology Physician
  • New Albany, IN
  • NPI 1447259510
  NPD tax ID

Locations

Practitioners 3

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

• Janet Cartwright, CRNA

  • Certified Registered Nurse Anesthetist
  • Elizabethtown, KY
  • NPI 1881690741

  Nurse Anesthetist, Certified Registered

  NPD
• Jennifer Lee Priest Wiseman, CRNA

  • Certified Registered Nurse Anesthetist
  • Louisville, KY
  • NPI 1538565742

  Nurse Anesthetist, Certified Registered

  NPD
• Angela M Conklin, CRNA

  • Certified Registered Nurse Anesthetist
  • Paoli, IN
  • NPI 1366773350

  Nurse Anesthetist, Certified Registered

  NPD

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1235735804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 TUNNEL HILL RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018025",
            "telephone_number": "270-304-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 TUNNEL HILL RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018025",
            "telephone_number": "270-304-2520",
            "fax_number": "270-304-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN KENYON AMERICAN EYE INSTITUTE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN KENYON AMERICAN EYE INSTITUTE, LLC",
        "enumeration_date": "2020-12-09",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "GIRA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "270-304-2520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "juliegeoghegan@eyecare-partners.com",
            "affiliation": "N",
            "address_1": "2000 Tunnel Hill Rd",
            "city": "Elizabethtown",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427018025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "juliegeoghegan@eyecare-partners.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2000 Tunnel Hill Rd",
            "city": "Elizabethtown",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427018025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Eye Surgery Center of Elizabethtown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Merkley Jiranek, D.M.D
• Jkhall&Associates
• Cory Michael Johanboeke, PA-C
• John J Duplessis, Jr.
• John Kenyon American Eye Institute LLC
• Alexandria Johnson, CRNA
• Amanda Johnson, APRN
• Ashley M Johnson
• Cadie Johnson, APRN
• Chasity Lucille Johnson, B.A.

• All providers in Elizabethtown, KY
• Certified Registered Nurse Anesthetist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.