Jackson Purchase Pediatrics, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

PENDING Issued in KY

Legal business name

JACKSON PURCHASE PEDIATRICS, PLLC

Practice address

1029 Medical Center Cir
Suite 200
Mayfield, KY 42066-1189

Phone

(270) 251-4545

Fax

(270) 251-4546

NPI assigned

Mar 27, 2009

Last updated

Mar 27, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Annalee Lynn Paul, MD

Title

MD/Owner

Phone

(270) 251-4545

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1477795086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 MEDICAL CENTER CIR",
            "address_2": "SUITE 200",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420661189",
            "telephone_number": "270-251-4545",
            "fax_number": "270-251-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 MEDICAL CENTER CIR",
            "address_2": "SUITE 200",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420661189",
            "telephone_number": "270-251-4545",
            "fax_number": "270-251-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON PURCHASE PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "ANNALEE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "270-251-4545",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irvin Internal Medicine PLLC
• Mark D Irvin, M.D.
• Myra Irvin, MD
• J.U. Kevil Memorial Foundation, Inc.
• Jackson Purchase Cardiology
• Jackson Purchase Pulmonary Medicine PLLC
• Jackson Purchase Pulmonary Medicine PLLC
• James H Adams Jr PSC
• Hailey Elisabeth Jarvis, PHARMD
• Michelle Ann Jewell, APRN

• Pediatrics Physician in Mayfield, KY
• Providers in Mayfield, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.