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PURCHASE DERM--E.N.T., P.L.L.C.

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Company Details

Name: PURCHASE DERM--E.N.T., P.L.L.C.
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 11 May 1998 (27 years ago)
Organization Date: 11 May 1998 (27 years ago)
Last Annual Report: 24 Apr 2017 (8 years ago)
Managed By: Members
Organization Number: 0456302
ZIP code: 42003
City: Paducah
Primary County: McCracken County
Principal Office: 2605 KENTUCKY AVENUE, SUITE 601 DOC BLDG 3, PADUCAH, KY 42003
Place of Formation: KENTUCKY

Member

Name Role
JOHN RANDALL RESSER Member
SHAWN CURTIS JONES Member
JOHN ANDREW BALLERT Member

Registered Agent

Name Role
SHAWN CURTIS JONES, M.D. Registered Agent

Organizer

Name Role
THOMAS J. KEULER Organizer

National Provider Identifier

NPI Number:
1336101179

Authorized Person:

Name:
SHAWN C JONES
Role:
PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
231H00000X - Audiologist
Is Primary:
No
Selected Taxonomy:
207Y00000X - Otolaryngology Physician
Is Primary:
Yes

Contacts:

Fax:
5704083272

Form 5500 Series

Employer Identification Number (EIN):
611328413
Plan Year:
2011
Number Of Participants:
32
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
30
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
26
Sponsors Telephone Number:

Former Company Names

Name Action
PURCHASE DERM--E.N.T., L.L.C. Old Name

Assumed Names

Name Status Expiration Date
PURCHASE E.N.T. Inactive 2014-09-13
E. N. T. ASSOCIATES Inactive 2010-06-22
PURCHASE DERMATOLOGY Inactive 2004-09-13
PURCHASE INFECTIOUS DISEASE Inactive 2004-09-13

Filings

Name File Date
Dissolution 2018-01-10
Annual Report 2017-04-24
Annual Report 2016-04-11
Annual Report 2015-04-03
Renewal of Assumed Name Return 2014-03-21

USAspending Awards / Contracts

Procurement Instrument Identifier:
DJBMARLVB230799
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
3476.00
Base And Exercised Options Value:
3476.00
Base And All Options Value:
3476.00
Awarding Agency Name:
Department of Justice
Performance Start Date:
2012-08-16
Description:
IGF::OT::IGF MEDICAL - PURNELL 8-16-12
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q999: MEDICAL- OTHER

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Sources: Kentucky Secretary of State