Jaise Poulose, M.D.

Individual Active
NPI 1497872675
Critical Care Medicine (Internal Medicine) Physician Edgewood, KY

Jaise Poulose, M.D. holds NPI 1497872675, with a primary taxonomy of critical care medicine (internal medicine) physician and a practice location in Edgewood, KY. The number was issued on March 23, 2007 and the NPPES record was last updated on August 6, 2025. The record lists 4 taxonomy codes. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Critical Care Medicine (Internal Medicine) Physician Primary 207RC0200X 53941 (KY)
Cardiovascular Disease Physician 207RC0000X 11150 (ND)
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 50104 (MN)
Pulmonary Disease Physician 207RP1001X MD.207663 (LA)

Practice locations

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone: (859) 757-2927
320 W 18th St
Hopkinsville, KY 42240-1965
Phone: (270) 887-0100

Local context

Active NPPES records list 46 providers with critical care medicine (internal medicine) physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 36 of them within 10 miles.

The same primary taxonomy is listed by 47 in Kentucky and 7,319 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Jaise Thekkan Poulose
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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