NPIMap

Organization Active NPI

Flaget Healthcare Inc

  • Internal Medicine Physician
  • Bardstown, KY
National Provider Identifier
1104988203
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FLAGET HEALTHCARE INC
Practice address
4305 New Shepherdsville Rd
Bardstown, KY 40004-9019
Phone
(502) 350-5032
Fax
(502) 350-5036
NPI assigned
Dec 14, 2006
Last updated
Jan 25, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
FLAGET HEALTHCARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christy Spitser
Title
VP of Finance
Phone
(859) 313-1694

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
Acute Care Nurse Practitioner 363LA2100X NU
Anesthesiology Physician 207L00000X NU
Internal Medicine Physician 207R00000X NU Primary
Cardiovascular Disease Physician 207RC0000X NU
Hematology & Oncology Physician 207RH0003X NU
Radiation Oncology Physician 2085R0001X NU
Hospitalist Physician 208M00000X NU

Addresses

Primary practice location

4305 New Shepherdsville Rd
Bardstown, KY 40004-9019

Mailing address

PO Box 936
London, KY 40743-0936
Phone (606) 330-7835

Other identifiers 4

IdentifierTypeStateIssuer
74900044MedicaidKY
78904323MedicaidKY
65903478MedicaidKY
1100392OtherKYPASSPORT GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031216000799 KY Part B Supplier - Clinic/Group Practice 5890692024 Receives reassigned benefits from 34 practitioners
4 other NPIs on this enrollment
Practice locations: Bardstown, KY

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Flaget Health Center5 organizations share this tax ID, including this one
Part of
Flaget Health Center

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

110 S Salem Dr
Bardstown, KY 40004
Phone (502) 348-3400

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
CHI Saint Joseph Health - Flaget Memorial HospitalBardstown, KY, CCN 180025 Hospital 5% Or Greater Indirect Ownership Interest (100%) Apr 6, 1999

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Flaget Healthcare, Inc

    dba CHI Saint Joseph Health - Flaget Memorial Hospital

    • General Acute Care Hospital
    • Bardstown, KY
    • NPI 1871588772

    5% Or Greater Indirect Ownership Interest

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 34

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1104988203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "telephone_number": "606-330-7835",
            "fax_number": "606-330-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 NEW SHEPHERDSVILLE RD",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400049019",
            "telephone_number": "502-350-5032",
            "fax_number": "502-350-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGET HEALTHCARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLAGET HEALTHCARE INC",
        "enumeration_date": "2006-12-14",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "SPITSER",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "859-313-1694"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74900044",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78904323",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65903478",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT GROUP NUMBER",
            "identifier": "1100392",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

Verify at the official NPI Registry.