JILL C JARVIS (NPI# 1750533717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750533717 |
| Entity Type | Individual |
| Full Name | JILL C JARVIS |
| Other Name | JILL C STEPHENS |
| Credential | PA |
| Practice Address |
200 E Chestnut St Ste 303 Louisville KY 40202-1831 |
| Mailing Address |
Po Box 950202 Louisville KY 40295-0202 |
| Practice Telephone | 5026295552 |
| Practice Fax Number | 5026293132 |
| Mailing Telephone | 5025889490 |
| Mailing Fax Number | 5022725116 |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2015-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA864 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICARE- NORTON INPATIENT SPECIALISTS | 00533095 | 01 |
| KY | 7100089510 | 05 | |
| KY | PASSPORT ADVANTAGE- NORTON INPATIENT SPECIALISTS | 3706976000 | 01 |
| KY | ANTHEM- NORTON INPATIENT SPECIALISTS | 000000601231 | 01 |
| KY | HUMANA- NORTON INPATIENT SPECIALISTS | 000023036K | 01 |
| KY | PASSPORT- NORTON INPATIENT SPECIALISTS | 50023389 | 01 |
| Street Address |
200 E CHESTNUT ST STE 303 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-1831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659370286 | Sergio A Cardinali | Internal Medicine | 200 E Chestnut St Ste 303, Louisville, KY 40202-1831 | 2005-07-15 |
| 1275179830 | Jillian Scott | Physician Assistant | 200 E Chestnut St Ste 303, Louisville, KY 40202-1831 | 2019-11-19 |
| 1154988699 | Candace Middleton-combs | Nurse Practitioner | 200 E Chestnut St Ste 303, Louisville, KY 40202-1831 | 2019-05-21 |
| 1477063790 | Jenna Elizabeth Foushee | Internal Medicine | 200 E Chestnut St Ste 303, Louisville, KY 40202-1831 | 2017-10-02 |
| 1376067868 | Elizabeth Grilliot Fahey | Physician Assistant | 200 E Chestnut St Ste 303, Louisville, KY 40202-1831 | 2017-07-27 |
| 1043747645 | Charity Ann Batman | Nurse Practitioner | 200 E Chestnut St Ste 303, Louisville, KY 40202-1831 | 2017-05-15 |
| 1912445057 | Elissa Faith Johnson | Nurse Practitioner | 200 E Chestnut St Ste 303, Louisville, KY 40202-1831 | 2017-02-09 |
| 1326590381 | Clint Hedinger | Nurse Practitioner | 200 E Chestnut St Ste 303, Louisville, KY 40202 | 2016-10-25 |
| 1205284726 | Serena K Nevitt | Nurse Practitioner | 200 E Chestnut St Ste 303, Louisville, KY 40202-1831 | 2016-05-25 |
| 1851753818 | Yousef Hammudeh | Internal Medicine | 200 E Chestnut St Ste 303, Louisville, KY 40202-1831 | 2016-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558982348 | Damian Morriston | Physician Assistant | 7088 Aspen Grove Ct, Louisville, KY 40241-2522 | 2020-05-03 |
| 1063041457 | Molly Ritter | Physician Assistant | 2310 Woodbourne Ave Apt 13, Louisville, KY 40205-1752 | 2020-04-07 |
| 1629582739 | Addie C Rosenberger | Physician Assistant | 200 E Chestnut St Bldg Ste 303, Louisville, KY 40202-1831 | 2017-11-28 |
| 1750749362 | Erin Mary Quinn | Physician Assistant | 90 Health Park Dr Ste 340, Louisville, CO 80027-9586 | 2016-02-10 |
| 1043465164 | Myron Jeffrey Hardesty | Physician Assistant | 7505 New Lagrange Road, Louisville, KY 40222 | 2008-11-18 |
| 1992966279 | Sharin Lynn Berger | Physician Assistant | 928 Treece St, Louisville, CO 80027-8511 | 2008-06-19 |
| 1528112166 | Wendy M Warren | Physician Assistant | 3999 Dutchmans Ln Ste 6f, Louisville, KY 40207-4724 | 2007-01-22 |
| 1942245253 | Connie Ann Melton | Physician Assistant | 1025 S 2nd St, Louisville, KY 40203-2823 | 2006-06-19 |
| 1588604896 | Community Ear Nose Throat & Allergy,pllc | Physician Assistant | 4950 Norton Healthcare Blvd., Suite 209, Louisville, KY 40241 | 2006-06-07 |
| 1760420202 | Andrea Byrd Doak | Physician Assistant | 1067 Peachtree St, Louisville, GA 30434 | 2006-06-04 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
Please comment or provide details below to improve the information on JILL C JARVIS.
| 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.