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SAINT JOSEPH BEREA UROLOGY
NPI 1063745081
Urology in Berea, KY

Active since September 09, 2009CLIA 18D0322694 · Accreditation
305 ESTILL ST, 3RD FLOOR, BEREA, KY 40403(859) 985-8100(859) 986-6571 Get Directions Write a Review

NPPES record last updated: October 29, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Saint Joseph Berea Urology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAINT JOSEPH BEREA UROLOGY (NPI 1063745081) is a healthcare organization registered as an urology in Berea, Kentucky and active in the NPI registry since September 2009. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Kandi R Rea, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1063745081
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameSAINT JOSEPH MEDICAL FOUNDATION, INC
Location Address305 ESTILL ST, 3RD FLOORBerea, KY 40403-1742
Mailing AddressPo Box 73652Cleveland, OH 44193-0002 · (606) 330-3404 · Fax (606) 330-3100
Phone(859) 985-8100
Fax(859) 986-6571
Organization SubpartYes
Authorized OfficialKandi R ReaCredentialing Specialist · (606) 330-3404
Enumeration DateSeptember 9, 2009
Last NPPES UpdateOctober 29, 2009
✔ NPI 1063745081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
305 ESTILL ST, Berea, KY 40403
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Other Names 1

Doing Business AsSaint Joseph Berea Urology

Other Identifiers 1

Medicare PIN01130KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 18D0322694

Saint Joseph Berea · Berea, KY
Active · expires Jan 2, 2027
CLIA Number18D0322694
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Bradley Gibson
Laboratory Phone(859) 986-6559
Laboratory LocationSaint Joseph Berea305 Estill Street Attn Laboratory/Kayla Isaacs, Berea, KY 40403
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DASEN R RITCHEY M.D.
Surgery
305 ESTILL ST
BEREA, KY 40403
Madison County (859) 986-3151
MS. JILLISA D HAWK ARNP
Nurse Practitioner (Family)
305 ESTILL ST
BEREA, KY 40403
Madison County (859) 986-9521
REBECCA BRANDENBURG APRN- CNP
Nurse Practitioner (Psychiatric/Mental Health)
305 ESTILL ST
BEREA, KY 40403
Madison County (859) 985-1415
SAINT JOSEPH MEDICAL FOUNDATION, INC
Otolaryngology
305 ESTILL ST, 3RD FLOOR
BEREA, KY 40403
Madison County (859) 986-6791
SAINT JOSEPH MEDICAL FOUNDATION, INC
Internal Medicine
305 ESTILL ST
BEREA, KY 40403
Madison County (859) 986-3151
PAMELA RENAE FUGATE APRN
Nurse Practitioner (Family)
305 ESTILL ST
BEREA, KY 40403
Madison County (859) 985-1415
DR. ROSHAN PAIS M.D.
Internal Medicine
305 ESTILL ST, HOSPITALIST DEPT
BEREA, KY 40403
Madison County (859) 986-2344
VICKI LOU HACKMAN MD
Family Medicine
305 ESTILL ST
BEREA, KY 40403
Madison County (859) 985-1415

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Saint Joseph Medical Foundation, Inc's NPI number?

The NPI number for Saint Joseph Medical Foundation, Inc is 1063745081. It was assigned to this organization in the NPPES registry on September 9, 2009. The provider is doing business as Saint Joseph Berea Urology.

Where is Saint Joseph Medical Foundation, Inc located?

Saint Joseph Medical Foundation, Inc is located at 305 Estill St 3rd Floor, Berea, KY 40403. The listed phone number is (859) 985-8100.

What is Saint Joseph Medical Foundation, Inc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Saint Joseph Medical Foundation, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 18D0322694) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Saint Joseph Medical Foundation, Inc was last updated on October 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.