NPIMap

Organization Active NPI

Jennie Stuart Medical Center

Doing business as JSMC Hospitalists

  • Hospitalist Physician
  • Hopkinsville, KY
National Provider Identifier
1750619045
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
JENNIE STUART MEDICAL CENTER
Doing business as
JSMC Hospitalists
Practice address
320 W 18TH St
Hopkinsville, KY 42240-1965
Phone
(270) 887-0100
NPI assigned
Nov 24, 2009
Last updated
Jan 30, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
JENNIE STUART MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Authorized official

Name
Eric A Lee
Title
President/Ceo
Phone
(270) 887-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X Primary

Addresses

Primary practice location

320 W 18TH St
Hopkinsville, KY 42240-1965

Mailing address

PO Box 2400
Hopkinsville, KY 42241-2400
Phone (270) 887-0100

Other identifiers 1

IdentifierTypeStateIssuer
7100104890MedicaidKY

Other names 1

  • JSMC Hospitalists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040609001506 KY Part B Supplier - Clinic/Group Practice 4183607252 Receives reassigned benefits from 155 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hopkinsville, KY; Trenton, KY; Russellville, KY

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Jennie Stuart Medical C17 organizations share this tax ID, including this one
Part of
Jennie Stuart Medical C

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1750619045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2400",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422412400",
            "telephone_number": "270-887-0100",
            "fax_number": "270-887-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W 18TH ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401965",
            "telephone_number": "270-887-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIE STUART MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JENNIE STUART MEDICAL CENTER",
        "enumeration_date": "2009-11-24",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "270-887-0100"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100104890",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JSMC Hospitalists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JSMC Hospitalists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hopkinsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.