Baptist Health Medical Group Inc
Organization Active NPI Family Medicine Physician · Louisville, KY
NPI 1689762973 · NPPES record last updated Feb 5, 2015
Key facts
- NPI
- 1689762973
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- BAPTIST HEALTH MEDICAL GROUP INC
- Practice address
- 2600 Stanley Gault Pkwy
Suite 201
Louisville, KY 40223-5129 - Phone
- (502) 238-2801
- Fax
- (502) 238-2835
- NPI assigned
- Oct 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Katherine P Smith
- Title
- Director
- Phone
- (502) 238-2801
Other NPIs on the same Medicare enrollment 42
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY, IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
| O20090527000129 | IN | Part B Supplier - Clinic/Group Practice | 5597867184 |
Receives reassigned benefits from 563 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: New Albany, IN; Palmyra, IN; Salem, IN; Scottsburg, IN; Sellersburg, IN; Charlestown, IN; Clarksville, IN; Corydon, IN… |
National Provider Directory
Locations
329 Floyd Dr
Carrollton, KY 41008
Phone (502) 732-1082
400 Ring Rd
Ste 148
Elizabethtown, KY 42701
Phone (270) 706-5621
4 Hmb Cir
Frankfort, KY 40601
Phone (502) 223-5811
1031 New Moody Ln
Ste 204
Lagrange, KY 40031
Phone (502) 222-4385
1023 New Moody Ln
Ste 101
Lagrange, KY 40031
Phone (502) 222-4551
1023 New Moody Ln
Ste 202A
Lagrange, KY 40031
Phone (502) 222-3324
10216 Taylorsville Rd
Ste 150
Louisville, KY 40299
Phone (502) 297-8900
3900 Kresge Way
Ste 46
Louisville, KY 40207
Phone (502) 810-8002
3950 Kresge Way
Ste 303
Louisville, KY 40207
Phone (502) 895-4772
4001 Kresge Way
Ste 210
Louisville, KY 40207
Phone (502) 895-1995
3900 Kresge Way
Ste 56
Louisville, KY 40207
Phone (502) 895-7265
2400 Eastpoint Pkwy
Ste 580
Louisville, KY 40223
Phone (502) 893-7710
1210 Johnson Blvd
Ste 3
Murray, KY 42071
Phone (270) 759-4098
1208 Johnson Blvd
Murray, KY 42071
Phone (270) 759-1429
610 E Brannon Rd
Ste 100
Nicholasville, KY 40356
Phone (859) 260-5540
2601 Kentucky Ave
Ste 300
Paducah, KY 42003
Phone (270) 443-5564
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | |||
| Pediatric Emergency Medicine (Emergency Medicine) Physician |
207PP0204X | |||
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X | |||
| Obstetrics & Gynecology Physician |
207V00000X | KY | ||
| Pediatrics Physician |
208000000X | |||
| Neurology Physician |
2084N0400X | |||
| Radiation Oncology Physician |
2085R0001X | |||
| Surgery Physician |
208600000X | |||
| Colon & Rectal Surgery Physician |
208C00000X | KY | ||
| General Practice Physician |
208D00000X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
208G00000X | |||
| Physician Assistant |
363A00000X | |||
| Surgical Physician Assistant |
363AS0400X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
2600 Stanley Gault Pkwy
Suite 201
Louisville, KY 40223-5129
Mailing address
2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223-5132
Phone (502) 253-4900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65946246 | Medicaid | KY | |
| 00162 | Other | MEDICARE GROUP | |
| 65946188 | Medicaid | KY |
Other providers in Louisville, KY
- Baptist Health Medical Group Inc
- Baptist Health Medical Group Inc
- Baptist Health Medical Group Inc
- Baptist Health Medical Group Inc
- Baptist Health Medical Group Inc
- Baptist Health Medical Group Inc
- Baptist Health Medical Group Inc
- Baptist Health Medical Group, Inc.
- Baptist Health Medical Group, Inc.
- Baptist Health Surgery Center Breckenridge LLC
All providers in Louisville, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.