NPIMap

Organization Active NPI

St. Elizabeth Physicians

  • Specialist
  • Lakeside Park, KY
National Provider Identifier
1851734933
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ST. ELIZABETH PHYSICIANS
Practice address
2300 Chamber Center Dr
Lakeside Park, KY 41017-1673
Phone
(859) 344-5498
Fax
(859) 344-5551
NPI assigned
Apr 9, 2013
Last updated
Apr 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Authorized official

Name
Debra Marcie Schabell
Title
Billing Clerk
Phone
(859) 344-5498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

2300 Chamber Center Dr
Lakeside Park, KY 41017-1673

Mailing address

2300 Chamber Center Dr
Lakeside Park, KY 41017-1673
Phone (859) 344-5498

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0324126St Elizabeth Physicians2300 Chamber Center Drive, Suite 200, Fort Mitchell, KY 41017Provider-performed microscopyApr 14, 2028
18D2168072Concierge Complete by St Elizabeth Physicians2300 Chamber Center Dr Suite 100, Fort Mitchell, KY 41017Provider-performed microscopyJun 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
Summit Medical Group Inc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

2300 Chamber Center Dr
Lakeside Park, KY 41017
Phone (859) 341-3114

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1851734933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 CHAMBER CENTER DR",
            "city": "LAKESIDE PARK",
            "state": "KY",
            "postal_code": "410171673",
            "telephone_number": "859-344-5498",
            "fax_number": "859-344-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 CHAMBER CENTER DR",
            "city": "LAKESIDE PARK",
            "state": "KY",
            "postal_code": "410171673",
            "telephone_number": "859-344-5498",
            "fax_number": "859-344-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ELIZABETH PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "SCHABELL",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "MARCIE",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "859-344-5498"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeside Park, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.