DR. JAMES ALLEN JAGGER (NPI# 1609848134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609848134 |
| Entity Type | Individual |
| Full Name | DR. JAMES ALLEN JAGGER |
| Credential | M.D. |
| Practice Address |
560 S Loop Rd Edgewood KY 41017 |
| Mailing Address |
560 S Loop Rd Edgewood KY 41017-3405 |
| Practice Telephone | 8593012663 |
| Practice Fax Number | 8598177848 |
| Mailing Telephone | 8593012663 |
| Mailing Fax Number | 8598177851 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2018-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PS0010X |
Emergency Medicine Specialization: Sports Medicine |
01032896A | IN | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
36747 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201278990 | 05 |
| Street Address |
560 S LOOP RD |
| City | EDGEWOOD |
| State | KY |
| Zip Code | 41017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548262793 | Bruce Robert Holladay | Orthopaedic Surgery | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2005-06-01 |
| 1265043103 | Karli Danielle Beasley | Physical Therapist | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2020-08-13 |
| 1972128403 | Maria Reitzes | Physical Therapist | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2020-06-10 |
| 1669019535 | Gina Schuler | Nurse Practitioner | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2019-12-10 |
| 1700422995 | Samuel Jacob Dedden | Physician Assistant | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2019-11-21 |
| 1740825355 | Danielle Dupont | Physical Therapist | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2019-11-07 |
| 1215596895 | Emily Nicole Rolf | Physical Therapist | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2019-06-07 |
| 1730747098 | Pamela Marie Wisniewski | Physical Therapist | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2019-06-03 |
| 1821577677 | Chase R Stanley | Specialist/Technologist | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2018-08-13 |
| 1831682012 | Bryan Vranic | Physical Therapist | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2018-06-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629377411 | Rebecca Elise Popham | Family Medicine | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2011-03-20 |
| 1699777847 | Matthew Todd Desjardins | Family Medicine | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255848065 | Orthocincy | Family Medicine | 700 Dolwick Dr, Erlanger, KY 41018 | 2018-01-02 |
| 1790071272 | Kimberly Anne Kaiser | Family Medicine | 740 S Limestone Street K401 Kentucky Clinic, Lexington, KY 40536-0284 | 2011-06-23 |
| 1639304942 | Dwan Rozzel Perry | Family Medicine | 310 S Limestone Street Suite A100a, Lexington, KY 40536-8202 | 2009-05-16 |
| 1174566152 | Christopher V. Pitcock | Family Medicine | 2400 Eastpoint Pkwy Ste 110, Louisville, KY 40223-4154 | 2006-06-14 |
| 1184663015 | Louisville Family & Sports Medicine Psc | Family Medicine | 9420 Brownsboro Rd, Louisville, KY 40241-1118 | 2006-06-06 |
| 1881042505 | Jordan Patrick Hilgefort | Family Medicine | 215 Central Ave Ste 200, Louisville, KY 40208-1451 | 2016-06-03 |
| 1821478769 | Benjamin Bondow | Family Medicine | 2195 Harrodsburg Rd, Lexington, KY 40504 | 2015-06-05 |
| 1457759540 | Commonwealth Health Corporation, Inc. | Family Medicine | 825 2nd Ave, Suite C2, Bowling Green, KY 42101 | 2014-12-05 |
| 1154738987 | Owensboro Health Medical Group, Inc | Family Medicine | 1301 Pleasant Valley Rd, Suite 500b, Owensboro, KY 42303-9774 | 2014-07-14 |
| 1396176541 | University of Louisville Research Foundation | Family Medicine | 215 Central Ave, Suite 200, Louisville, KY 40208-1449 | 2013-12-12 |
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| 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.