DBA PREMIER HEART AND VASCULAR CENTERS – NPI #1710115175
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

DBA PREMIER HEART AND VASCULAR CENTERS is a provider located in LONDON, KY. NPPES has assigned the NPI number 1710115175 to DBA PREMIER HEART AND VASCULAR CENTERS on June 24, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DBA PREMIER HEART AND VASCULAR CENTERS” is a dba name, the actual legal business name for this organization is SJL PHYSICIAN MANAGEMENT SERVICES INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 16 years ago on Feb 25, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DBA PREMIER HEART AND VASCULAR CENTERS below.

NPI Profile for
SJL PHYSICIAN MANAGEMENT SERVICES INC.

NPI Number
1710115175
Enumeration Date

(about 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SJL PHYSICIAN MANAGEMENT SERVICES INC.
Doing Business As (dba): DBA PREMIER HEART AND VASCULAR CENTERS
Primary location
1210 W 5TH ST
LONDON, KY 40741-2112
Phone: (606) 864-4040 Fax: (606) 864-3500
Mailing address
PO BOX 2638
LONDON, KY 40743-2638
Phone: (606) 864-4040 Fax: (606) 877-1722
Organization Subpart
No
Authorized Official
CARMEL JONES
VP REVENUE CYCLE & BUSINESS SERVICE
Phone: (606) 877-3918
Updated
Identifiers

Identifiers for DBA PREMIER HEART AND VASCULAR CENTERS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERANTHEM BCBS PINKY000000638615
OTHERCHIKYC21207
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.