Physicians Geriatric Health Services Inc
Organization Active NPI Geriatric Medicine (Internal Medicine) Physician · Jeffersonville, IN
NPI 1679628762 · NPPES record last updated Dec 26, 2007
Key facts
- NPI
- 1679628762
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- License
- 25893 (KY)
- Legal business name
- PHYSICIANS GERIATRIC HEALTH SERVICES INC
- Practice address
- 1804 E 10TH St
Jeffersonville, IN 47130-6016 - Phone
- (502) 553-0810
- Fax
- (502) 288-6603
- NPI assigned
- Jan 25, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Mark Kirkpatrick, MD
- Title
- President
- Phone
- (502) 553-0810
Practitioners 5
-
Marye B Dillon, NP
-
Robbyn Grimsley Jewell, ARNP
-
Lisa Michelle Keown, ARNP
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician |
207RG0300X | 25893 | KY | Yes |
Addresses
Primary practice location
1804 E 10TH St
Jeffersonville, IN 47130-6016
Mailing address
1804 E 10TH St
Jeffersonville, IN 47130-6016
Phone (502) 553-0810
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000291217 | Other | KY | ANTHEM |
| 1063431 | Medicaid | KY |
Other providers in Jeffersonville, IN
- Deborah R Phillips
- Sara Beth Phillips
- Gregory Ray Phipps
- Physician'S Care Group
- Physician'S Primary Care PLLC
- Physicians Primary Care PLLC
- Physicians Primary Care, PLLC
- Physiotherapy Alliance Inc
- Physiotherapy Associates Inc
- Stephanie Pickerill
All providers in Jeffersonville, IN · Geriatric Medicine (Internal Medicine) Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.