Individual provider Active NPI

Jacqueline Eugenio, MD

  • Emergency Medicine Physician
  • Danville, KY
National Provider Identifier
1790701456
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
32089 Issued in KY
Practice address
217 S 3Rd St
Danville, KY 40422-1823
Phone
(859) 335-9041
Fax
(859) 335-9072
NPI assigned
Jul 14, 2006
Last updated
May 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 32089 KY
Emergency Medicine Physician 207P00000X 32089 KY Primary

Addresses

Primary practice location

217 S 3Rd St
Danville, KY 40422-1823

Mailing address

PO Box 1650
Akron, OH 44309-1650
Phone (330) 864-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040907000859 KY Practitioner - Emergency Medicine 9739155250 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Medical Group of Kentucky PLLCGroup PAC ID 9133483894, 78 clinicians

Practice addresses (Care Compare)

1700 Old Lebanon Rd
Campbellsville, KY 42718-9615
Phone (270) 465-3561

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital Association Inc Emergency Medicine CurrentSince Sep 18, 2024 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Monroe Medical Foundation, Inc. Emergency Medicine CurrentSince Sep 18, 2024 Accepting new patients
Monroe Medical Foundation, Inc. Emergency Medicine Current Accepting new patients
Jane Todd Crawford Memorial Hospital, Inc. CurrentSince Sep 18, 2024 Accepting new patients
Jane Todd Crawford Memorial Hospital, Inc. CurrentSince Sep 18, 2024 Accepting new patients
Concord Medical Group of Kentucky PLLC Emergency Medicine CurrentSince Nov 9, 2024 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jul 15, 2015 Accepting new patients
Casey County Hospital District CurrentSince Sep 18, 2024 Accepting new patients
Cumberland County Hospital Association Inc CurrentSince Sep 18, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2020 Accepting new patients
Southern Medical Partners, LLC Emergency Medicine CurrentSince Sep 15, 2013 Accepting new patients
Casey County Hospital District CurrentSince Sep 18, 2024 Accepting new patients
Monroe Medical Foundation Inc CurrentSince Sep 18, 2024 Accepting new patients
Kentucky Post-Acute Medical Services 1 PSC CurrentSince Jul 1, 2020 Accepting new patients
Middlesborough Emergency Physicians LLC Emergency Medicine CurrentSince Jul 1, 2007 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2020 Accepting new patients
Anciro PSC Past Accepting new patients

Locations

723 Burkesville Rd
Albany, KY 42602
Phone (606) 387-6421

299 Glasgow Rd
Burkesville, KY 42717
Phone (270) 864-2511

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4444

290 Industrial Park Rd
Greensburg, KY 42743
Phone (270) 634-1921

310 Industrial Park Rd
Greensburg, KY 42743
Phone (270) 299-2286

1011 Old Highway 60
Hardinsburg, KY 40143
Phone (270) 756-7000

60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

187 Wolford Ave
Liberty, KY 42539
Phone (606) 787-5044

3600 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 237-1700

1501 S Dixie St
Park, KY 42749
Phone (270) 745-1255

850 Riverview Ave
Pineville, KY 40977
Phone (606) 337-3051

305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994

754 S Highway 27
Somerset, KY 42501
Phone (606) 305-2516

529 Capp Harlan Rd
Tompkinsville, KY 42167
Phone (270) 487-6048

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

Interoperability endpoints

  • Direct secure messaging: erjge@yourcarecommunity.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/caseyco-4151b385
  • FHIR API: https://fhir-usa.unify.chbase.com/org/janetod-f1571d3c

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1790701456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1650",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443091650",
            "telephone_number": "330-864-8900",
            "fax_number": "330-869-8924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S 3RD ST",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221823",
            "telephone_number": "859-335-9041",
            "fax_number": "859-335-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUGENIO",
        "first_name": "JACQUELINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "32089",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "32089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

Verify at the official NPI Registry.