Jackson Purchase Er Physicians, Psc
Jackson Purchase Er Physicians, Psc is a healthcare organization registered as Emergency Medicine Physician in Paducah, KY, holding Type 2 (organization) NPI 1093701823 since 2005. The authorized official on file is Brian Vanderboegh, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1093701823 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jackson Purchase Er Physicians, Psc |
| Practice address | 1530 LONE OAK RD, Paducah, KY, 42003 |
| Phone | 2704440878 |
| Fax | 2704446252 |
| Enumeration date | 2005-09-27 |
| Last updated in NPPES | 2008-06-30 |
Authorized official
| Name | Brian Vanderboegh |
|---|---|
| Title | President |
| Phone | 2704440878 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65911323 | Medicaid | KY | — |
Copy-ready billing details
Provider: Jackson Purchase Er Physicians, Psc NPI: 1093701823 Taxonomy: 207P00000X (Emergency Medicine Physician) Address: 1530 LONE OAK RD, Paducah, KY, 42003
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1578566055 | Barry Driver | Individual | Radiation Oncology Physician | Paducah, KY |
| 1417951468 | Mercy Health-Lourdes Hospital LLC | Organization | Rehabilitation Hospital Unit | Paducah, KY |
| 1346244126 | Mercy Health-Lourdes Hospital LLC | Organization | General Acute Care Hospital | Paducah, KY |
| 1982609640 | Affiliates in Pathology Sc | Organization | Anatomic Pathology & Clinical Pathology Physician | Paducah, KY |
| 1750387858 | Mercy Health-Lourdes Hospital LLC | Organization | Skilled Nursing Facility | Paducah, KY |
| 1669469300 | Philip Anderson | Individual | Emergency Medicine Physician | Paducah, KY |
| 1356337182 | Brian Vander Boegh | Individual | Emergency Medicine Physician | Paducah, KY |
| 1518957273 | Christina Wagner | Individual | Emergency Medicine Physician | Paducah, KY |
Verify this record
Cross-check NPI 1093701823 against the authoritative CMS record: view Jackson Purchase Er Physicians, Psc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Jackson Purchase Er Physicians, Psc?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-06-30.