DBA PREMIER HEART AND VASCULAR CENTERS
NPI 1710115175
Internal Medicine - Cardiovascular Disease in London, KY

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

Active since June 24, 2009

1210 W 5TH ST, LONDON, KY 40741(606) 864-4040(606) 864-3500 Get Directions Write a Review

NPPES record last updated: February 25, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dba Premier Heart And Vascular Centers NPPES

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

DBA PREMIER HEART AND VASCULAR CENTERS (NPI 1710115175) is a healthcare organization registered as a cardiovascular disease in London, Kentucky and active in the NPI registry since June 2009. The organization lists Carmel Jones, Vp Revenue Cycle & Business Service, as its authorized official.

NPPES Registry Identity

NPI1710115175

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameSJL PHYSICIAN MANAGEMENT SERVICES INC.

Location Address1210 W 5TH STLondon, KY 40741-2112

Mailing AddressPo Box 2638London, KY 40743-2638 · (606) 864-4040 · Fax (606) 877-1722

Phone(606) 864-4040

Fax(606) 864-3500

Organization SubpartNo

Authorized OfficialCarmel JonesVp Revenue Cycle & Business Service · (606) 877-3918

Enumeration DateJune 24, 2009

Last NPPES UpdateFebruary 25, 2010

✔ NPI 1710115175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

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.

Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

1210 W 5TH ST, London, KY 40741

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Other Names 1

Doing Business AsDba Premier Heart And Vascular Centers

Other Identifiers 4

Other000000638615KY · Anthem Bcbs Pin

OtherC21207KY · Chi

Medicare PIN01207KY

Medicare PINDP7481KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP