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Baptist Health Medical Group INC

Nurse Practitioner in Lexington, KY. Organization (NPI-2).

NPI number1518360296
StatusActive
Last updated in NPPESJun 24, 2026

Details

NPI
1518360296
Entity type
Organization (NPI-2)
Legal business name
Baptist Health Medical Group INC
Organization subpart
No
Enumeration date
Oct 8, 2014
Certification date
Jun 24, 2026
Last updated
Jun 24, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner––Yes
1041C0700X Social Worker, Clinical––
225100000X Physical Therapist––
261Q00000X Clinic/Center–KY
261QR1300X Clinic/Center, Rural Health–KY
261QP2300X Clinic/Center, Primary Care900311KY
2085P0229X Radiology, Pediatric Radiology––
213E00000X Podiatrist––
363A00000X Physician Assistant––
2084P0800X Psychiatry & Neurology, Psychiatry––
101YP2500X Counselor, Professional––
103T00000X Psychologist––

Practice location

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517

Phone 859-260-4390 · Fax 859-260-4399

Mailing address

1901 Campus Pl
Louisville, KY 40299-2308

Phone 502-253-4911 · Fax 502-489-5751

Authorized official

Matthew Lazari
Vice President
5024898668

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