JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC. (NPI# 1336198928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336198928 |
| Entity Type | Organization |
| Organization Name | JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC. |
| Other Organization Name | JHS SHELBY MEDICINE |
| Practice Address |
133 Buck Creek Rd Simpsonville KY 40067-6674 |
| Mailing Address |
60 Mack Walters Rd Shelbyville KY 40065 |
| Practice Telephone | 5027220223 |
| Practice Fax Number | 5027220221 |
| Mailing Telephone | 5027220223 |
| Mailing Fax Number | 5027220221 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2008-01-02 |
| Authorized Official Name | MRS. KATHY FLOYD (BILLING SUPERVISOR) |
| Authorized Official Telephone | 5026334622 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM | 000000389694 | 01 |
| KY | PASSPORT HEALTH PLAN | 50010253 | 01 |
| Other Name | Type Code |
|---|---|
| JHS Shelby Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215356837 | Jewish Hospital & St. Mary's Healthcare, Inc. | Pharmacy | 5111 Commerce Crossings Dr Ste 120, Louisville, KY 40229-2191 | 2014-04-10 |
| 1396985131 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4419 Lasalle Ave, Louisville, KY 40215 | 2009-03-05 |
| 1841448735 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4418 Malcolm Ave., Louisville, KY 40215 | 2008-09-04 |
| 1447434493 | Jewish Hospital & St. Mary's Healthcare, Inc. | Clinic/Center | 313 Federal Drive, Suite 110, Corydon, IN 47112 | 2007-12-27 |
| 1407049992 | Jewish Hospital & St. Mary's Healthcare, Inc. | Pharmacy | 5000 Commerce Crossings Dr, Suite 100a, Louisville, KY 40229-2119 | 2007-08-20 |
| 1043328982 | Jewish Hospital & St. Mary's Healthcare, Inc. | Clinic/Center | 2201 Greentree N, Clarksville, IN 47129-8957 | 2006-08-29 |
| 1427166271 | Jewish Hospital & St. Mary's Healthcare, Inc. | Clinic/Center | 4812 Hamburg Pike, Jeffersonville, IN 47130-9209 | 2006-08-29 |
| 1922040815 | Jewish Hospital & St. Mary's Healthcare, Inc. | Nursing Care | 539 S 4th St, Louisville, KY 40202-2535 | 2006-06-12 |
| 1306888284 | Jewish Hospital & St. Mary's Healthcare, Inc. | Rehabilitation Unit | 2020 Newburg Rd., Louisville, KY 40205-1803 | 2006-06-12 |
| 1669414686 | Jewish Hospital & St. Mary's Healthcare, Inc. | Skilled Nursing Facility | 2100 Millvale Rd, Louisville, KY 40205-1604 | 2006-06-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC. | 200 Abraham Flexner Way, Louisville, KY 40202-1818 |
| Street Address |
133 BUCK CREEK RD |
| City | SIMPSONVILLE |
| State | KY |
| Zip Code | 40067-6674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396112546 | Bethany Shively | Nurse Practitioner | 2156 Todds Point Road, Simpsonville, KY 40067 | 2015-08-24 |
| 1780943423 | Shelli Dry Pediatric Therapy, Pllc | Specialist | 40 Liza's Cir., Simpsonville, KY 40067 | 2012-05-15 |
| 1588808281 | Diane M Banic | Psychologist | 1219 Taylorwood Rd, Simpsonville, KY 40067 | 2009-04-24 |
| 1235261538 | Shelli Dry | Specialist | 40 Liza's Circle, Simpsonville, KY 40067 | 2007-03-12 |
| 1639579451 | Angels Behavior Services | Community/Behavioral Health | 25 Timberwood Dr, Simpsonville, KY 40067-5404 | 2014-08-28 |
| 1609051655 | Kara Baughman | Social Worker | 532 Reserves Ct, Simpsonville, KY 40067-5465 | 2008-01-08 |
| 1801434071 | Morgan Utterback | Counselor | 3180 Countryside Dr, Simpsonville, KY 40067-5615 | 2019-12-18 |
| 1922266113 | Kerrin Omer | Case Manager/Care Coordinator | 151 Old Stone Dr, Simpsonville, KY 40067-5658 | 2008-05-25 |
| 1417409681 | Servant Hearts LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 626 Crum Ct, Simpsonville, KY 40067-5662 | 2016-11-03 |
| 1821110909 | Amber D Durr | Counselor | 521 Todds Point Rd, Simpsonville, KY 40067-6418 | 2007-04-06 |
| Find all providers in zip 40067 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487174462 | Excalibur Youth Services, LLC. | Family Medicine | 3683 S Industrial Dr, Simpsonville, SC 29681-3238 | 2017-06-21 |
| 1558527416 | Spartanburg Medical Center | Family Medicine | 2801 Woodruff Rd Ste 101, Simpsonville, SC 29681-4807 | 2008-07-31 |
| 1871754689 | Dr Thomas A Malone, Md Pa | Family Medicine | 224 Ne Main St, Simpsonville, SC 29681-2318 | 2008-06-24 |
| 1164644381 | Sara Mccleave Lindsay | Family Medicine | 509 Poinsettia Drive, Simpsonville, SC 29681-3438 | 2007-05-03 |
| 1871655431 | Melody Jan Kneeland | Family Medicine | 219 Batesville Rd, Simpsonville, SC 29681-4816 | 2006-12-13 |
| 1083645584 | Fairview Family Practice | Family Medicine | 103 Fairview Pointe Dr., Simpsonville, SC 29681 | 2006-07-05 |
| 1205863107 | Keith H Waters | Family Medicine | 103 Fairview Pointe Drive, Simpsonville, SC 29681 | 2006-06-27 |
| 1134155112 | Joseph Duncan Burnette Jr. | Family Medicine | 1409 West Butler Road, Suite B, Simpsonville, SC 29680-6322 | 2006-06-23 |
| 1376589739 | Terrell T Leeke | Family Medicine | 103 Fairview Pointe Dr, Simpsonville, SC 29681-3223 | 2006-06-22 |
| 1346286846 | Daniel Adam Dillon | Family Medicine | 3930 Grandview Dr Ste B, Simpsonville, SC 29680 | 2006-06-22 |
| Find all providers in SIMPSONVILLE | ||||
| City | SIMPSONVILLE |
| Zip Code | 40067 |
Please comment or provide details below to improve the information on JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.