St Joseph Medical Foundation, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ST JOSEPH MEDICAL FOUNDATION, INC.

Doing business as

St Joseph Internal Medicine

Practice address

1401 Harrodsburg Rd
Lexington, KY 40504-3751

Phone

(859) 277-7281

NPI assigned

Jan 28, 2011

Organization subpart

Yes

Parent organization

ST JOSEPH MEDICAL FOUNDATION, INC.As reported in NPPES

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

Authorized official

Name

Ms. Carmel Jones

Title

President/Coo

Phone

(606) 309-5506

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• St Joseph Internal Medicine Doing business as

Part of

Saint Joseph Med FND Inc

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1407152184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73652",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930002",
            "telephone_number": "859-313-2758",
            "fax_number": "859-276-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043751",
            "telephone_number": "859-277-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPH MEDICAL FOUNDATION, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST JOSEPH MEDICAL FOUNDATION, INC.",
        "enumeration_date": "2011-01-28",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CARMEL",
        "authorized_official_title_or_position": "PRESIDENT/COO",
        "authorized_official_telephone_number": "606-309-5506",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "15167",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Joseph Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Srividya Sriramula, MD
• Habib Srour, M.D.
• Sarah M. Srour, CRNA
• Collin A St Clair, D.O.
• St Joseph Medical Foundation, Inc.
• William Henry St. Clair, MD
• Gerald St. James II
• Sara Staab, APRN
• Jason Staats, LPCC
• Mary Elizabeth Staben, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.