Active NPI
Jeremy Patrick Stich, MD
- Emergency Medicine Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- TP715
- Practice address
- 535 Wellington Way Ste 330
Lexington, KY 40503-1331 - Phone
- (859) 439-0400
- NPI assigned
- May 11, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 44491 | KY | |
| Emergency Medicine Physician | 207P00000X | TP715 | KY | Primary |
Addresses
Primary practice location
535 Wellington Way Ste 330
Lexington, KY 40503-1331
Mailing address
3028 Shady Knoll RST
Lexington, KY 40511-8952
Phone (859) 333-3065
Other practice location 1
3205 Summit Square Pl
Lexington, KY 40509-2650
Phone (859) 335-9041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, DE, WA, OH, TN, MI, GA, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Kentucky College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
299 Kings Daughters Dr
Frankfort, KY 40601-6514
Phone (502) 875-5240
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Medical Partners, LLC | Emergency Medicine | Current | Accepting new patients |
| Wellington Provider Group PC | Current | Accepting new patients | |
| Emergency Medicine Services of Ky, LLC | Emergency Medicine | Current | Accepting new patients |
| Ky-I Medical Services, P.S.C. | Past | Accepting new patients | |
| Wild Health, Inc. | Past | Accepting new patients |
Locations
1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330
299 Kings Daughters Dr
Hatton, KY 40601
Phone (502) 875-5240
881 Corporate Dr
Ste 110
Lexington, KY 40503
Phone (859) 439-0400
535 Wellington Way
Ste 330
Lexington, KY 40503
Phone (859) 439-0400
240 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3500
2300 W Sahara Ave
Ste 800
Las Vegas, NV 89102
Phone (702) 234-3311
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- jeremy.stich@481558715105284.direct.elationemr.com
- jeremy.stich@585769833398276.direct.elationemr.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Bowling Green, KY
- NPI 1033816194
-
- Emergency Medicine Physician
- Hazard, KY
- NPI 1538109962
-
- General Acute Care Hospital
- Danville, KY
- NPI 1972751469
-
- Family Medicine Physician
- Lexington, KY
- NPI 1457012205
-
- Physician Assistant
- Frankfort, KY
- NPI 1336586932
-
- Primary Care Clinic/Center
- Lexington, KY
- NPI 1174133441
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Frankfort Regional Medical Center
- General Acute Care Hospital
- Frankfort, KY
- NPI 1427095488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649894400000",
"number": "1295027126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3028 SHADY KNOLL RST",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405118952",
"telephone_number": "859-333-3065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 WELLINGTON WAY STE 330",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405031331",
"telephone_number": "859-439-0400"
}
],
"practiceLocations": [
{
"address_1": "3205 Summit Square Pl",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405092650",
"country_code": "US",
"telephone_number": "859-335-9041",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STICH",
"first_name": "JEREMY",
"middle_name": "PATRICK",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-11",
"last_updated": "2022-04-14",
"certification_date": "2022-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "44491",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "TP715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.