Baptist Anesthesia, PSC

Organization Active NPI Anesthesiology Physician · Lexington, KY

NPI 1780779082 · NPPES record last updated May 21, 2013

Key facts

NPI
1780779082
Entity type
Organization (NPI type 2)
Primary specialty
Anesthesiology Physician 207L00000X
Legal business name
BAPTIST ANESTHESIA, PSC
Practice address
1740 Nicholasville Road
Lexington, KY 40503
Phone
(859) 260-2198
NPI assigned
Oct 3, 2006
Organization subpart
No

Authorized official

Name
Stephanie Shumate, D.O.
Title
President
Phone
(859) 268-1030

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040901000339 KY Part B Supplier - Clinic/Group Practice 7517932601 Receives reassigned benefits from 10 practitioners
Practice locations: Lexington, KY

National Provider Directory

Locations

425 Lewis Hargett Cir
Lexington, KY 40503
Phone (606) 679-9322

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207L00000X Yes
Certified Registered Nurse Anesthetist
Group: 193200000X MULTI-SPECIALTY GROUP
367500000X

Addresses

Primary practice location

1740 Nicholasville Road
Lexington, KY 40503

Mailing address

425 Lewis Hargett Cir
Lexington, KY 40503-3590
Phone (859) 268-1030

Other identifiers

IdentifierTypeStateIssuer
7100191070MedicaidKY
7100191030MedicaidKY

Other providers in Lexington, KY

All providers in Lexington, KY · Anesthesiology Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.