MARYMOUNT MEDICAL CENTER PHYSICIAN SERVICES NPI 1215133988

NPI Information

  • NPI: 1215133988
  • Provider Name: MARYMOUNT MEDICAL CENTER PHYSICIAN SERVICES
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Organization
  • Doing Business As: MMC PHYSICIAN SERVICES
  • Address: 1001 SAINT JOSEPH LN
    LONDON, KY
    ZIP 40741
  • Phone: (606) 330-6000

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NPI Details

MARYMOUNT MEDICAL CENTER PHYSICIAN SERVICES is a nurse anesthetist certified registered in London, KY. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. MARYMOUNT MEDICAL CENTER PHYSICIAN SERVICES NPI is 1215133988. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mmc Physician Services.

The provider's business location address is:

1001 SAINT JOSEPH LN
LONDON, KY
ZIP 40741-345
Phone: (606) 330-6000

The provider's authorized official is Carmel Jones .
The authorized official title is Coo and has the following contact phone number (606) 330-6015.

The enumeration date for this NPI number is 6/21/2007 and was last updated on 11/27/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1367500000XNurse Anesthetist, Certified RegisteredYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17365MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYMEDICARE
274900986MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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