NPIMap

Organization Active NPI

DO Not Use

  • Occupational Medicine Physician
  • Lexington, KY
National Provider Identifier
1992962468
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
DO NOT USE
Practice address
1775 Alysheba Way
Lexington, KY 40509-9023
Phone
(859) 260-4530
NPI assigned
May 21, 2008
Organization subpart
Yes
Parent organization
BAPTIST COMMUNITY HEALTH SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Authorized official

Name
David Frum
Title
Vice President
Phone
(502) 238-2801

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X Primary

Addresses

Primary practice location

1775 Alysheba Way
Lexington, KY 40509-9023

Mailing address

2600 Stanley Gault Pkwy
Suite 201
Louisville, KY 40223-4197
Phone (502) 253-1035

Other identifiers 1

IdentifierTypeStateIssuer
00519OtherKYMEDICARE GROUP

Other names 1

  • Baptistworx Other name

National Provider Directory

National Provider Directory
Tax ID family
Hanan Budeiri MD12 organizations share this tax ID, including this one
Part of
Hanan Budeiri MD

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1992962468",
    "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": "502-253-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 ALYSHEBA WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405099023",
            "telephone_number": "859-260-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DO NOT USE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST COMMUNITY HEALTH SERVICES, INC",
        "enumeration_date": "2008-05-21",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "FRUM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "502-238-2801"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "00519",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptistworx",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.