Baptist Family Medicine at Tates Creek

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BAPTIST FAMILY MEDICINE AT TATES CREEK

Doing business as

Baptist Family Medicine at Tates Creek

Practice address

4071 Tates Creek Centre Drive
Suite 202
Lexington, KY 40517

Phone

(859) 273-3888

Fax

(859) 971-4601

NPI assigned

Feb 20, 2012

Last updated

Apr 22, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

BAPTIST PHYSICIANS LEXINGTON, INC.As reported in NPPES

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

Authorized official

Name

Gail Fleckinstein

Title

Revenue Cycle Director

Phone

(859) 971-4633

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Baptist Family Medicine at Tates Creek Doing business as

Part of

Baptist Physicians Lexington Inc

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1164795233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4071 TATES CREEK CENTRE DRIVE",
            "address_2": "SUITE 202",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40517",
            "telephone_number": "859-273-3888",
            "fax_number": "859-971-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4071 TATES CREEK CENTRE DRIVE",
            "address_2": "SUITE 202",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40517",
            "telephone_number": "859-273-3888",
            "fax_number": "859-971-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST FAMILY MEDICINE AT TATES CREEK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST PHYSICIANS LEXINGTON, INC.",
        "enumeration_date": "2012-02-20",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "FLECKINSTEIN",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "859-971-4633"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3002500",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100076480",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Family Medicine at Tates Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prerna Bansal
• Kelsey Rae Banta
• Aly Catherine Banys, PHARMD
• Baptist Anesthesia, PSC
• Baptist Cardiothoracic Surgical Group
• Baptist Family Medicine at Tates Creek
• Baptist Health Home Care Ky LLC (Baptist Health Home Care)
• Baptist Health Medical Group Inc (Baptist Health Physical Therapy-Tates Creek)
• Baptist Health Medical Group Inc
• Baptist Health Medical Group Inc

• Family Medicine Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.