Baptist Health Madisonville Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BAPTIST HEALTH MADISONVILLE INC

Practice address

9086 St. RT. 132W
Clay, KY 42404

Phone

(270) 664-2526

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Richard Carrico

Title

Cfo

Phone

(502) 896-5006

Specialties & licenses 2

Addresses

Other names 1

• BAPTIST HEALTH MEDICAL ASSOCIATES Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Baptist Healthcare System Inc

  • Community/Retail Pharmacy
  • Lexington, KY
  • NPI 1144688318

  Member Of

  NPD member

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1831233923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HOSPITAL DR",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311644",
            "telephone_number": "270-825-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9086 ST. RT. 132W",
            "city": "CLAY",
            "state": "KY",
            "postal_code": "42404",
            "telephone_number": "270-664-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST HEALTH MADISONVILLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "CARRICO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-896-5006"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAPTIST HEALTH MEDICAL ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BAPTIST HEALTH MEDICAL ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheree Ann Clark, COTA/L
• Clay Drug Store Inc
• Rhonda Kay Oldham, PMHNP-BC
• Regional Health Care Affiliates Inc
• Regional Health Care Affiliates, Inc

• All providers in Clay, KY
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.