Smith, Jimmy Shaun
Smith, Jimmy Shaun is an individual health care provider with primary practice located at 800 Rose Street G100 Gill Heart Institute, Lexington KY 40536. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Smith, Jimmy Shaun can be contacted via phone (859) 323-0295.Contact Information
Primary practice address
800 Rose Street G100 Gill Heart Institute
Lexington KY 40536
Phone: (859) 323-0295
Fax: (859) 323-1256
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 02968 | Kentucky |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | TP048 | Kentucky |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 02968 | Kentucky |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 02968 | Kentucky |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 34009306 | Ohio |
Profile Details
| NPI number | 1598717894 |
|---|---|
| LBN Legal business name | Smith, Jimmy Shaun |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Jan 22nd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598717894 | NPPES |
| Indiana | MEDICAID | 201032990 | |
| Indiana | MEDICAID | PENDING | |
| Indiana | MEDICAID | 64121767 |
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