Active NPI
SJL Physician Management Services Inc.
Doing business as dba Premier Heart and Vascular Centers
- Cardiovascular Disease Physician
- London, KY
National Provider Identifier
1710115175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- SJL PHYSICIAN MANAGEMENT SERVICES INC.
- Doing business as
- dba Premier Heart and Vascular Centers
- Practice address
- 1210 W 5TH St
London, KY 40741-2112 - Phone
- (606) 864-4040
- Fax
- (606) 864-3500
- NPI assigned
- Jun 24, 2009
- Last updated
- Feb 25, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carmel Jones, CPA
- Title
- VP Revenue Cycle & Business Service
- Phone
- (606) 877-3918
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | KY | ||
| Nurse Practitioner | 363L00000X | KY | ||
| Cardiovascular Disease Physician | 207RC0000X | KY | Primary | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | KY | ||
| Interventional Cardiology Physician | 207RI0011X | KY |
Addresses
Primary practice location
1210 W 5TH St
London, KY 40741-2112
Mailing address
PO Box 2638
London, KY 40743-2638
Phone (606) 864-4040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C21207 | Other | KY | CHI |
| 000000638615 | Other | KY | ANTHEM BCBS PIN |
Other names 1
- dba Premier Heart and Vascular Centers
National Provider Directory
National Provider DirectoryLocations
215 Treuhaft Blvd
Barbourville, KY 40906
Phone (606) 545-0400
1707 Cumberland Falls Hwy
#113
Corbin, KY 40701
Phone (606) 528-2459
192 London Shopping Ctr
#3
London, KY 40741
Phone (606) 330-2361
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- Martin, KY
- NPI 1740702257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267056000000",
"number": "1710115175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2638",
"city": "LONDON",
"state": "KY",
"postal_code": "407432638",
"telephone_number": "606-864-4040",
"fax_number": "606-877-1722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 W 5TH ST",
"city": "LONDON",
"state": "KY",
"postal_code": "407412112",
"telephone_number": "606-864-4040",
"fax_number": "606-864-3500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SJL PHYSICIAN MANAGEMENT SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-24",
"last_updated": "2010-02-25",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "CARMEL",
"authorized_official_title_or_position": "VP REVENUE CYCLE & BUSINESS SERVICE",
"authorized_official_telephone_number": "606-877-3918",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KY",
"license": null,
"primary": true
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "KY",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHI",
"identifier": "C21207",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS PIN",
"identifier": "000000638615",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "dba Premier Heart and Vascular Centers",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in London, KY
- Rianna Marie Singleton, APRN, FNP-C
- Alpana Sinha, M.D.
- Evelyn M Sites, LCSW, CADC
- Sitters Etc., LLC
- Jennifer Sizemore, PA
- SJL Physician Management Services, Inc. (dba Premier Heart & Vascular Centers ARNP Group)
- Richard E Skrip Jr., DPM
- Sleep Disorders Center of London & Corbin, PLLC (Sleep Disorders Center of London)
- Dale Slusser
- Jeanne Slusser, MSN,RN, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.