SAINT JOSEPH MEDICAL FOUNDATION, INC (NPI# 1912144791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912144791 |
| Entity Type | Organization |
| Organization Name | SAINT JOSEPH MEDICAL FOUNDATION, INC |
| Other Organization Name | SAINT JOSEPH BEREA FAMILY MEDICINE |
| Practice Address |
305 Estill St 4th Floor Berea KY 40403-1742 |
| Mailing Address |
Po Box 73652 Cleveland OH 44193-0002 |
| Practice Telephone | 8599862343 |
| Practice Fax Number | 8599862344 |
| Mailing Telephone | 6063303404 |
| Mailing Fax Number | 6063303100 |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |
| Authorized Official Name | KANDI R REA (PHYSICIAN CREDENTIALING) |
| Authorized Official Telephone | 6063303404 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAINT JOSEPH MEDICAL FOUNDATION, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100002060 | 05 |
| Other Name | Type Code |
|---|---|
| Saint Joseph Berea Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912273038 | Saint Joseph Medical Foundation, Inc | Nurse Practitioner | 1401 Harrodsburg Rd, B275, Lexington, KY 40504-3751 | 2012-03-23 |
| 1700174364 | Saint Joseph Medical Foundation, Inc | Internal Medicine | 170 N Eagle Creek Dr, Suite 104, Lexington, KY 40509-9087 | 2011-07-18 |
| 1801182654 | Saint Joseph Medical Foundation, Inc | Nurse Practitioner | 160 N Eagle Creek Dr, Suite 202, Lexington, KY 40509-2121 | 2011-06-21 |
| 1063705051 | Saint Joseph Medical Foundation, Inc | Nurse Practitioner | 300 W John Fitch Ave, Suite 210, Bardstown, KY 40004-1150 | 2011-05-24 |
| 1548553183 | Saint Joseph Medical Foundation, Inc | Psychiatry & Neurology | 95 Bryan Blvd, Corbin, KY 40701-2788 | 2011-05-16 |
| 1457642159 | Saint Joseph Medical Foundation, Inc | Physician Assistant | 1406 W 5th St, Ste 303, London, KY 40741-1688 | 2011-04-28 |
| 1508157223 | Saint Joseph Medical Foundation, Inc | Internal Medicine | 1210 W 5th St, London, KY 40741-2112 | 2011-04-28 |
| 1669763363 | Saint Joseph Medical Foundation, Inc | Anesthesiology | 2645 N Laurel Rd, London, KY 40741-9075 | 2011-04-28 |
| 1063703783 | Saint Joseph Medical Foundation, Inc | Psychiatry & Neurology | 1370 W 5th St, London, KY 40741-1615 | 2011-04-28 |
| 1053602771 | Saint Joseph Medical Foundation, Inc | Durable Medical Equipment & Medical Supplies | 160 London Mountain View Dr, London, KY 40741-6601 | 2011-04-28 |
| Street Address |
305 ESTILL ST 4TH FLOOR |
| City | BEREA |
| State | KY |
| Zip Code | 40403-1742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295060 | Kristinalin Caldwell | Nurse Practitioner | 305 Estill St, Berea, KY 40403-1742 | 2005-06-15 |
| 1104393925 | Rebecca Brandenburg | Nurse Practitioner | 305 Estill St, Berea, KY 40403-1742 | 2018-10-30 |
| 1659703163 | Mahmoud A. Abualayem | Internal Medicine | 305 Estill St, 3rd Floor, Berea, KY 40403-1742 | 2013-08-07 |
| 1982955290 | Saint Joseph Health System Inc. | Clinic/Center | 305 Estill St, Berea, KY 40403-1742 | 2012-09-26 |
| 1306192059 | Resource Anesthesia Kentucky Inc | Specialist | 305 Estill St, Berea, KY 40403-1742 | 2012-07-31 |
| 1487913562 | Saint Joseph Medical Foundation, Inc. | Pain Medicine | 305 Estill St, 4th Floor, Berea, KY 40403-1742 | 2012-05-10 |
| 1780966408 | Derrick H Williams | Family Medicine | 305 Estill St, 4th Floor, Berea, KY 40403-1742 | 2011-09-20 |
| 1659650034 | Alberto Zarak | Surgery | 305 Estill St, Berea, KY 40403-1742 | 2011-08-16 |
| 1770861254 | Stephanie S. Mcguire | Nurse Practitioner | 305 Estill St, Berea, KY 40403-1742 | 2011-08-01 |
| 1144523911 | Saint Joseph Medical Foundation, Inc | Physician Assistant | 305 Estill St, Berea, KY 40403-1742 | 2010-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912559899 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 130 Campus Dr., Annville, KY 40403 | 2019-07-11 |
| 1710479241 | Mccays Total Care Pharmacy South LLC | Pharmacy | 852 Ridgewood Drive, Suite F, Berea, KY 40403 | 2018-05-31 |
| 1306371703 | Ariel Boyd | Occupational Therapist | 752 Richmond Rd N, Berea, KY 40403 | 2017-04-24 |
| 1093060188 | Kevin Allen Skidmore | Optometrist | 854 Ridgewood Drive, Berea, KY 40403 | 2012-07-16 |
| 1366715443 | Jeannie Marie Lakes | Case Manager/Care Coordinator | 137 Raven Drive, Berea, KY 40403 | 2012-02-20 |
| 1679858138 | Anita Zlamal | Pharmacist | 220 Richmond Rd, Berea, KY 40403 | 2011-10-17 |
| 1093099210 | Teresa Leigh Turner | Nurse Practitioner | 208 Kidd Drive, Berea, KY 40403 | 2011-10-06 |
| 1992005839 | Madison County Health Department | Public Health or Welfare | 751 Farristown Industrial, Berea, KY 40403 | 2010-10-26 |
| 1154632271 | Jones Family & Cosmetic Dentistry | Dentist | 201 Pauline Dr., Suite H, Berea, KY 40403 | 2010-06-23 |
| 1174845713 | Chris Sipple Enterprises LLC | Chiropractor | 502 Richmond Road, Berea, KY 40403 | 2010-02-24 |
| Find all providers in zip 40403 | ||||
| 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 |
|---|---|---|---|---|
| 1740317353 | University Primary Care Practices Inc | Family Medicine | 201 Front St Ste 101, Berea, OH 44017-1998 | 2007-02-28 |
| 1033280607 | Mary Margaret Miller | Family Medicine | 125 Clay Dr, Berea, KY 40403-1349 | 2006-11-13 |
| 1245339175 | Robert P Blankfield | Family Medicine | 201 Front St #101, Berea, OH 44017 | 2006-09-21 |
| 1457462103 | Leigh A Delair | Family Medicine | 2200 Menelaus Rd, Berea, KY 40403-9748 | 2006-08-31 |
| 1831131481 | Strauss Family Practice, LLC | Family Medicine | 402 Richmond Rd N, Suite B, Berea, KY 40403-1133 | 2006-06-11 |
| 1538115639 | Nicole Christine Troy | Family Medicine | 563 W Bagley Rd, 2nd Floor, Berea, OH 44017-1328 | 2006-05-26 |
| 1003861162 | Jessica Abney Pennington | Family Medicine | 2750 Battlefield Memorial Hwy, Berea, KY 40403-8332 | 2006-05-24 |
| 1346229507 | Maureen A. Flannery | Family Medicine | 122 Main St, Berea, KY 40403-1903 | 2006-01-15 |
| 1376521286 | Valerie Powers | Family Medicine | 1350 W Bagley Rd, Berea, OH 44017-2912 | 2006-01-03 |
| 1396745170 | Jerry C Tardio | Family Medicine | 853 W Bagley Rd, Berea, OH 44017-2903 | 2005-07-22 |
| Find all providers in BEREA | ||||
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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.