Jackson Purchase Pulmonary Medicine PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3010022 Issued in KY

Legal business name

JACKSON PURCHASE PULMONARY MEDICINE PLLC

Practice address

1111 Medical Center Cir
Mayfield, KY 42066-1194

Phone

(270) 251-4040

Fax

(855) 430-0335

NPI assigned

Sep 27, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Tammy D McCary

Title

Office Manager

Phone

(270) 251-4040

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Jackson Purchase Pulmonary Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Jackson Purchase Pulmonary Medicine PLLC

  • Pulmonary Disease Physician
  • Mayfield, KY
  • NPI 1922262179
  NPD tax ID

Practitioners 1

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

• Roberto Dos Remedios, MD

  • Pulmonary Disease Physician
  • Mayfield, KY
  • NPI 1497872899
  NPD

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1992254288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER CIR",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420661194",
            "telephone_number": "270-251-4040",
            "fax_number": "855-430-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER CIR",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420661194",
            "telephone_number": "270-251-4040",
            "fax_number": "855-430-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON PURCHASE PULMONARY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "MCCARY",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "270-251-4040",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100399120",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Myra Irvin, MD
• J.U. Kevil Memorial Foundation, Inc.
• Jackson Purchase Cardiology
• Jackson Purchase Pediatrics, PLLC
• Jackson Purchase Pulmonary Medicine PLLC
• James H Adams Jr PSC
• Hailey Elisabeth Jarvis, PHARMD
• Michelle Ann Jewell, APRN
• Marquetta L Johnson, LPCC
• Dale E Jones, MD

• Family Nurse Practitioner in Mayfield, KY
• Providers in Mayfield, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.