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SAINT JOSEPH BEREA FAMILY MEDICINE
NPI 1912144791
Family Medicine in Berea, KY

Active since January 15, 2009CLIA 18D0322700 · Waiver
305 ESTILL ST, 4TH FLOOR, BEREA, KY 40403(859) 986-2343(859) 986-2344 Get Directions Write a Review

NPPES record last updated: January 15, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Saint Joseph Berea Family Medicine NPPES

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

SAINT JOSEPH BEREA FAMILY MEDICINE (NPI 1912144791) is a healthcare organization registered as a family medicine in Berea, Kentucky and active in the NPI registry since January 2009. The organization holds a CLIA Waiver certificate valid through March 20, 2028 and lists Kandi R Rea, Physician Credentialing, as its authorized official.

NPPES Registry Identity

NPI1912144791
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSAINT JOSEPH MEDICAL FOUNDATION, INC
Location Address305 ESTILL ST, 4TH FLOORBerea, KY 40403-1742
Mailing AddressPo Box 73652Cleveland, OH 44193-0002 · (606) 330-3404 · Fax (606) 330-3100
Phone(859) 986-2343
Fax(859) 986-2344
Organization SubpartYes
Authorized OfficialKandi R ReaPhysician Credentialing · (606) 330-3404
Enumeration DateJanuary 15, 2009
✔ NPI 1912144791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
305 ESTILL ST, Berea, KY 40403
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Other Names 1

Doing Business AsSaint Joseph Berea Family Medicine

Other Identifiers 1

Medicaid7100002060KY

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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 Waiver 18D0322700

Saint Joseph Berea Family Medicine · Berea, KY
Active · expires Mar 20, 2028
CLIA Number18D0322700
Laboratory TypePhysician Office
Certificate Effective DateMarch 21, 2026
Certificate Expiration DateMarch 20, 2028
Laboratory DirectorDr. Donny Hardy
Laboratory Phone(859) 986-2344
Laboratory LocationSaint Joseph Berea Family Medicine305 Estill Street, 4th Floor, Berea, KY 40403
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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
SAINT JOSEPH MEDICAL FOUNDATION, INC
Urology
305 ESTILL ST, 3RD FLOOR
BEREA, KY 40403
Madison County (859) 985-8100
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

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 1912144791. It was assigned to this organization in the NPPES registry on January 15, 2009. The provider is doing business as Saint Joseph Berea Family Medicine.

Where is Saint Joseph Medical Foundation, Inc located?

Saint Joseph Medical Foundation, Inc is located at 305 Estill St 4th Floor, Berea, KY 40403. The listed phone number is (859) 986-2343.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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

Yes. A Certificate of Waiver (number 18D0322700) is associated with this NPI, valid through March 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Saint Joseph Medical Foundation, Inc accept?

Health plans from CareSource list Saint Joseph Medical Foundation, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Saint Joseph Medical Foundation, Inc was last updated on January 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.