NPIMap

Organization Active NPI

Premise Health of West Virginia Medical, Medical Corporation

Doing business as NAPCK Nurse Office

  • Clinic/Center
  • Hebron, KY
National Provider Identifier
1396334835
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION
Doing business as
NAPCK Nurse Office
Practice address
3675 N Bend Rd
Hebron, KY 41048-8465
Phone
(859) 334-7587
NPI assigned
Jan 11, 2021
Last updated
Aug 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Dr. Jon Leizman, MD
Title
President
Phone
(216) 479-9063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3675 N Bend Rd
Hebron, KY 41048-8465

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Other names 1

  • NAPCK Nurse Office Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Premise Health of West Virginia Medical Medical Corporation27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

Locations

3675 N Bend Rd
Hebron, KY 41048
Phone (859) 334-7587

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1396334835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MARYLAND WAY STE 120",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 N BEND RD",
            "city": "HEBRON",
            "state": "KY",
            "postal_code": "410488465",
            "telephone_number": "859-334-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "LEIZMAN",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-479-9063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NAPCK Nurse Office",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NAPCK Nurse Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hebron, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.