Organization Active NPI

Joyce a Haislip, MD.,PSC

  • Internal Medicine Physician
  • Owensboro, KY
National Provider Identifier
1982659637
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34921 Issued in KY
Legal business name
JOYCE A HAISLIP, MD.,PSC
Practice address
920 Frederica St
Ste 306
Owensboro, KY 42301
Phone
(270) 852-6600
Fax
(270) 852-6611
NPI assigned
May 23, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Lisa Grant
Title
Office Manager
Phone
(270) 852-6600

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

920 Frederica St
Ste 306
Owensboro, KY 42301
Phone (270) 852-6600

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 34921 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

920 Frederica St
Ste 306
Owensboro, KY 42301

Mailing address

920 Frederica St
Ste 306
Owensboro, KY 42301
Phone (270) 852-6600

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
65945099MedicaidKY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982659637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 FREDERICA ST",
            "address_2": "STE 306",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "42301",
            "telephone_number": "270-852-6600",
            "fax_number": "270-852-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 FREDERICA ST",
            "address_2": "STE 306",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "42301",
            "telephone_number": "270-852-6600",
            "fax_number": "270-852-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOYCE A HAISLIP, MD.,PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "270-852-6600"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "34921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65945099",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.