Marymount Medical Center Physician Services

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MARYMOUNT MEDICAL CENTER PHYSICIAN SERVICES

Practice address

160 London Mountain View Dr
London, KY 40741-6601

Phone

(606) 864-0770

Fax

(606) 864-1461

NPI assigned

Feb 22, 2011

Organization subpart

Yes

Parent organization

MARYMOUNT MEDICAL CENTER PHYSICIAN SERVICESAs 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

Coo/VP Finance

Phone

(606) 330-6015

Specialties & licenses 1

Addresses

Other names 1

• Premier Orthopedics & Sports Medicine DME Other name

Part of

Marymount Medical Center Physician Services

Locations

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1699072967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 E LAUREL RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407418601",
            "telephone_number": "859-276-6611",
            "fax_number": "859-276-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 LONDON MOUNTAIN VIEW DR",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407416601",
            "telephone_number": "606-864-0770",
            "fax_number": "606-864-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYMOUNT MEDICAL CENTER PHYSICIAN SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARYMOUNT MEDICAL CENTER PHYSICIAN SERVICES",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CARMEL",
        "authorized_official_title_or_position": "COO/VP FINANCE",
        "authorized_official_telephone_number": "606-330-6015",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Orthopedics & Sports Medicine DME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Briana Nicole Martin
• Marymount Medical Center Physician Services
• Marymount Medical Center Physician Services (MMC Physician Services)
• Marymount Medical Center Physician Services (London Cardio-Vascular Surgery)
• Marymount Medical Center Physician Services (Pulmonary & Sleep Specialists of London)
• Marymount Medical Center Physician Services
• Antwon Mason, LMT
• Amanda Baker Mastin, PHARMD
• Jackie D Maxey, MD
• Jerry G Mayes, DMD

• Durable Medical Equipment & Medical Supplies in London, KY
• Providers in London, KY by specialty
• Durable Medical Equipment & Medical Supplies in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.