NPIMap

Organization Active NPI

Beaumont Integrated Medicine PSC

  • Adult Medicine Physician
  • Lexington, KY
National Provider Identifier
1619377454
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
36483 Issued in KY
Legal business name
BEAUMONT INTEGRATED MEDICINE PSC
Practice address
989 Governors LN
Lexington, KY 40513-1173
Phone
(859) 559-4272
NPI assigned
Aug 29, 2014
Last updated
Sep 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Authorized official

Name
Mr. Daniel Vanhoose, ARNP
Title
Administrator
Phone
(859) 559-0804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 36483 KY Primary

Addresses

Primary practice location

989 Governors LN
Lexington, KY 40513-1173

Mailing address

7980 Solution Ctr
Chicago, IL 60677-7009
Phone (859) 559-4272

National Provider Directory

National Provider Directory

Locations

7980 Solution Ctr
Chicago, IL 60677

989 Governors Ln
Lexington, KY 40513
Phone (859) 296-0296

989 Governors Ln
Ste 280
Lexington, KY 40513
Phone (859) 219-1011

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1619377454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7980 SOLUTION CTR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606777009",
            "telephone_number": "859-559-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 GOVERNORS LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131173",
            "telephone_number": "859-559-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT INTEGRATED MEDICINE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "VANHOOSE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "859-559-0804",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "KY",
            "license": "36483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.