NPIMap

Organization Active NPI

Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Lancaster, KY
National Provider Identifier
1346946100
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BAPTIST HEALTH MEDICAL GROUP INC
Practice address
187 Farra Dr
Lancaster, KY 40444-8764
Phone
(859) 792-1766
Fax
(859) 792-1793
NPI assigned
Feb 3, 2023
Last updated
Sep 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Authorized official

Name
Matthew Lazari
Title
Vice President
Phone
(502) 489-8668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

187 Farra Dr
Lancaster, KY 40444-8764

Mailing address

1901 Campus PL FL 3
Louisville, KY 40299-2308
Phone (502) 253-4911

Other names 1

  • Baptist Health Medical Group Primary Care Lancaster Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070228000503 KY Part B Supplier - Clinic/Group Practice 5597867184 Receives reassigned benefits from 1,548 practitioners
40 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20230531001258 KY Part A Provider - Rural Health Clinic 5597867184 Practice locations: Lancaster, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346946100. Details of each certification follow.

Rural health clinic certification: CCN B03947

Legal name
BAPTIST HEALTH MEDICAL GROUP INC
Doing business as
BAPTIST HEALTH MEDICAL GROUP PRIMARY CARE LANCASTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 31, 2024
Last certification
Jan 31, 2024
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jul 21, 2006 in KY
Enrollment address
187 Farra Dr
Lancaster, KY 40444-8764

Other NPIs on the same Medicare enrollment 40

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

View all 40

National Provider Directory

National Provider Directory

Locations

187 Farra Dr
Lancaster, KY 40444
Phone (859) 792-1766

1901 Campus Pl
Fl 3
Louisville, KY 40299

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Staci Dawn Farner Rogers Individual Corporate DirectorBoard Member Jan 1, 2022
Christion Hutson Individual Corporate DirectorBoard Member Jan 1, 2026
Janet Norton Individual Corporate OfficerVice President Jul 21, 2006
Frank Purdy Individual Corporate DirectorBoard Member Jan 1, 2022
Victoria Buster Individual Corporate DirectorBoard Member Jan 1, 2023
Danyel D Clay Individual Corporate OfficerVice President Jan 1, 2022
W-2 Managing EmployeeVice President Jan 1, 2022
Isaac J Myers Individual Corporate OfficerPresident Jan 10, 2018
Rob D Schreiner Individual Corporate DirectorBoard Member Jan 1, 2021
Susan S Tamme Individual Corporate DirectorBoard Member Jan 1, 2026
Joanne M Berryman Individual Corporate DirectorBoard Member Jan 1, 2024
Ronald Douglas Reed Individual Corporate OfficerVice President Jan 17, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1346946100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 CAMPUS PL FL 3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992308",
            "telephone_number": "502-253-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 FARRA DR",
            "city": "LANCASTER",
            "state": "KY",
            "postal_code": "404448764",
            "telephone_number": "859-792-1766",
            "fax_number": "859-792-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST HEALTH MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-03",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "LAZARI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "502-489-8668"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Health Medical Group Primary Care Lancaster",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Baptist Health Medical Group Primary Care Lancaster",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lancaster, KY

Sources for this page

Verify at the official NPI Registry.