NPIMap

Organization Active NPI

Baptist Community Health Services

  • Emergency Medicine Physician
  • Louisville, KY
National Provider Identifier
1972807725
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
29002 Issued in KY
Legal business name
BAPTIST COMMUNITY HEALTH SERVICES
Practice address
3215 Westport Green PL
Louisville, KY 40241-3135
Phone
(502) 412-1112
Fax
(502) 357-0606
NPI assigned
Jan 7, 2011
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Katherine P Smith
Title
Revenue Cycle Director
Phone
(502) 238-2801

Corporate family (same tax ID) 11

Organizations that report the same tax identification number in the National Provider Directory.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0959539Baptist Health Urgent Care - Westport3215 Westport Green Place, Louisville, KY 40241Certificate of waiverMay 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Hanan Budeiri MD (12 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 29002 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

3215 Westport Green PL
Louisville, KY 40241-3135

Mailing address

2600 Stanley Gault Pkwy
Suite 201
Louisville, KY 40223-4197
Phone (502) 238-2801

Other names 1

NPPES NPI Registry
  • Baptist Urgent Care Westport Rx Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 7, 2011.

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1972807725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 STANLEY GAULT PKWY",
            "address_2": "SUITE 201",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234197",
            "telephone_number": "502-238-2801",
            "fax_number": "502-238-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 WESTPORT GREEN PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402413135",
            "telephone_number": "502-412-1112",
            "fax_number": "502-357-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST COMMUNITY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "502-238-2801"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "29002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Urgent Care Westport Rx",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.