Jackson Purchase Medical Associates, PSC

Primary specialty

Legal MedicineTaxonomy code 173000000X

Legal business name

JACKSON PURCHASE MEDICAL ASSOCIATES, PSC

Practice address

225 Medical Center Dr
Suite 201
Paducah, KY 42003

Phone

(270) 441-4200

Fax

(270) 441-4398

NPI assigned

Oct 25, 2006

Last updated

Jun 8, 2018By 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

Carmel Brown

Title

Director of Finance

Phone

(270) 538-5866

Specialties & licenses 8

Addresses

Other identifiers 1

Locations

Practitioners 11

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.

• Hisham Abu Farsak

  • Nephrology Physician
  • Paducah, KY
  • NPI 1346736857
  NPD
• Joseph L Becker, APRN

  • Family Nurse Practitioner
  • Murray, KY
  • NPI 1336770759
  NPD
• John T. Cecil Jr., M.D.

  • Pediatrics Physician
  • Paducah, KY
  • NPI 1821168154
  NPD
• Paul Joseph Grumley, M.D.

  • Internal Medicine Physician
  • Paducah, KY
  • NPI 1811066749
  NPD
• Leanna Marie Hopkins, CNP

  • Family Nurse Practitioner
  • Paducah, KY
  • NPI 1558222661
  NPD
• David Stricklin, M.D.

  • Hospitalist Physician
  • Paducah, KY
  • NPI 1801966163

  Internal Medicine

  NPD
• April D. Dunning, PA

  • Physician Assistant
  • Paducah, KY
  • NPI 1669475463
  NPD (past)
• Eric Scowden, M.D.

  • Nephrology Physician
  • Paducah, KY
  • NPI 1235208844
  NPD (past)
• Allen Lee Tinsley, M.D.

  • Internal Medicine Physician
  • Murray, KY
  • NPI 1508935446
  NPD (past)
• Charles Waller, MD

  • General Practice Physician
  • Benton, KY
  • NPI 1306841341
  NPD (past)
• Donna Gayle White, FNP

  • Family Nurse Practitioner
  • Murray, KY
  • NPI 1922447705
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1699850263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR STE 206",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037914",
            "telephone_number": "270-441-4522",
            "fax_number": "270-441-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR",
            "address_2": "SUITE 201",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42003",
            "telephone_number": "270-441-4200",
            "fax_number": "270-441-4398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1532 Lone Oak Rd Ste 315",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420037942",
            "country_code": "US",
            "telephone_number": "270-538-5880",
            "fax_number": "270-538-5870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JACKSON PURCHASE MEDICAL ASSOCIATES, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2018-06-08",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CARMEL",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "270-538-5866"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65923831",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chase Cullen Irvin, OTR/L
• Victoria Ivanukoff, DO
• J Michael Giannini PSC (J Michael Giannini MD PSC)
• J.F. Wilson Wellness Center, LLC.
• Jackson Purchase ER Physicians, PSC
• Brooke A Jackson, PA-C
• Catherine Marie Jackson, DNAP, CRNA
• Deana K. Jackson, MOT, OTR/L
• Jonathan Jackson
• Karmen Jackson

• Legal Medicine in Paducah, KY
• Providers in Paducah, KY by specialty
• Legal Medicine in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.