Mercy Health-Lourdes Hospital LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

MERCY HEALTH-LOURDES HOSPITAL LLC

Doing business as

Lourdes Physician Services

Practice address

1530 Lone Oak Rd.
Suite 345
Paducah, KY 42003

Phone

(270) 442-6161

Fax

(270) 442-6294

NPI assigned

Feb 11, 2008

Last updated

Jan 26, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

MERCY HEALTH PARTNERS - LOURDES INCAs reported in NPPES

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

Authorized official

Name

Robyn B. Duncan

Title

Credentialing Agent.

Phone

(270) 442-6161

Specialties & licenses 8

Addresses

Other identifiers 1

Other names 1

• Lourdes Physician Services Doing business as

Tax ID family

Christy Wilson NS Pra C7 organizations share this tax ID, including this one

Part of

Christy Wilson NS Pra C

Other organizations with this tax ID 6

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

• Mercy Health-Lourdes Hospital LLC

  dba Lourdes Reference Lab

  • Clinical Medical Laboratory
  • Paducah, KY
  • NPI 1154592137
  NPD tax ID
• Mercy Health-Lourdes Hospital LLC

  • Clinical Medical Laboratory
  • Paducah, KY
  • NPI 1245620640
  NPD tax ID
• Mercy Health-Lourdes Hospital LLC

  dba Lourdes - Rehab

  • Rehabilitation Hospital Unit
  • Paducah, KY
  • NPI 1417951468
  NPD tax ID
• Mercy Health-Lourdes Hospital LLC

  dba Mercy Health - Marshall Family Medicine, Internal Medicine & Pediatric

  • Rural Health Clinic/Center
  • Benton, KY
  • NPI 1629852678
  NPD tax ID
• Mercy Health-Lourdes Hospital LLC

  dba Harness Health Pharmacy

  • Community/Retail Pharmacy
  • Paducah, KY
  • NPI 1700214558
  NPD tax ID
• Mercy Health-Lourdes Hospital LLC

  • Obstetrics & Gynecology Physician
  • Paducah, KY
  • NPI 1962626598
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Austin Beck, MD

  • Family Medicine Physician
  • Benton, KY
  • NPI 1245641273
  NPD (past)
• Brittany A Hunter, APRN

  • Adult Health Clinical Nurse Specialist
  • Benton, KY
  • NPI 1568740108
  NPD (past)

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1356519508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 LONE OAK RD.",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42001",
            "telephone_number": "270-538-5663",
            "fax_number": "270-442-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 LONE OAK RD.",
            "address_2": "SUITE 345",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42003",
            "telephone_number": "270-442-6161",
            "fax_number": "270-442-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH-LOURDES HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH PARTNERS - LOURDES INC",
        "enumeration_date": "2008-02-11",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CREDENTIALING AGENT.",
        "authorized_official_telephone_number": "270-442-6161"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65927394",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lourdes Physician Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lourdes Physician Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Health Physicians Kentucky Specialty Care LLC
• Mercy Health Physicians Kentucky Specialty Care LLC
• Mercy Health-Lourdes Hospital LLC (Lourdes Reference Lab)
• Mercy Health-Lourdes Hospital LLC
• Mercy Health-Lourdes Hospital LLC
• Mercy Health-Lourdes Hospital LLC (Lourdes - Rehab)
• Mercy Health-Lourdes Hospital LLC (Mercy Health-Hospice, Paducah)
• Mercy Health-Lourdes Hospital LLC (Harness Health Pharmacy)
• Mercy Health-Lourdes Hospital LLC (Lourdes Inc - Skilled Nursing)
• Mercy Health-Lourdes Hospital LLC (Lourdes Hospital)

• Physician Assistant in Paducah, KY
• Providers in Paducah, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.