Mesa Medical Group

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

44491 Issued in KY

Legal business name

MESA MEDICAL GROUP

Practice address

660 Irvin Rd
Danville, KY 40422-8897

Phone

(859) 333-3065

NPI assigned

Sep 9, 2008

Last updated

Jul 2, 2013By 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

Dr. Jeremy Patrick Stich, M.D.NPI 1295027126

Title

Emergency Physician

Phone

(859) 330-4473

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Jeremy Patrick Stich, MD

  • Emergency Medicine Physician
  • Lexington, KY
  • NPI 1295027126
  Authorized official Same address or phone
• Paul W Finley, DO

  • Emergency Medicine Physician
  • Lexington, KY
  • NPI 1558394486
  NPD (past)
• Caitlyn Jervis, PA

  • Medical Physician Assistant
  • Wayland, KY
  • NPI 1497017669
  NPD (past)
• Christina Marie Thurston, PA-C

  • Physician Assistant
  • Odenton, MD
  • NPI 1407147366
  NPD (past)

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1972751469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1792 ALYSHEBA WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092288",
            "telephone_number": "859-335-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 IRVIN RD",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228897",
            "telephone_number": "859-333-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "STICH",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "EMERGENCY PHYSICIAN",
        "authorized_official_telephone_number": "859-330-4473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "KY",
            "license": "44491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay B Medley, APRN, DNP
• Kristin Raye Meece, DPT
• Melborne a. Williams, M.D.,PSC
• John E Merryman, M.D.
• Laryn Elise Mertz, ARNP, FNP-C
• Kelly Ann Milburn, APRN
• Kathy Lashbrook Miles, M.A.
• Valerie Lynn Miles, COTA
• Bailey Miller
• Katherine J Miller, M.D.

• General Acute Care Hospital in Danville, KY
• Providers in Danville, KY by specialty
• General Acute Care Hospital in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.