Healthsure Medical Clinic PLLC

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

02871 Issued in KY

Legal business name

HEALTHSURE MEDICAL CLINIC PLLC

Practice address

2406 Greatstone PT
Lexington, KY 40504-3274

Phone

(859) 223-0006

Fax

(859) 224-0005

NPI assigned

Jun 27, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Peace N Jessa, DO

Title

Owner

Phone

(859) 223-0006

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1336435403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 GREATSTONE POINT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043274",
            "telephone_number": "859-223-0006",
            "fax_number": "859-224-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 GREATSTONE PT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043274",
            "telephone_number": "859-223-0006",
            "fax_number": "859-224-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSURE MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "JESSA",
        "authorized_official_first_name": "PEACE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-223-0006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "KY",
            "license": "02871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000736990",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100185990",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healthfirst Bluegrass Inc.
• Healthfirst Bluegrass Inc.
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• Healthsource of Southeast Lexington Inc.
• James Heaphy, MD
• Brandon Hearld
• Heart Rescue CPR LLC
• Avery Heath
• Deneen Marie Heath, MD

• Occupational Medicine Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Occupational Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.