Organization · NPI-2

Baptist Health Medical Group INC

Family Medicine · Louisville, KY

NPI number1689762973

StatusActive

Last updated in NPPESFeb 5, 2015

Details

NPI: 1689762973
Entity type: Organization (NPI-2)
Legal business name: Baptist Health Medical Group INC
Organization subpart: No
Enumeration date: Oct 11, 2006
Last updated: Feb 5, 2015

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	–	–	Yes
207R00000X	Internal Medicine	–	–
208600000X	Surgery	–	–
208D00000X	General Practice	–	–
363L00000X	Nurse Practitioner	–	–
363A00000X	Physician Assistant	–	–
208C00000X	Colon & Rectal Surgery	–	KY
208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)	–	–
208000000X	Pediatrics	–	–
207P00000X	Emergency Medicine	–	–
207PP0204X	Emergency Medicine, Pediatric Emergency Medicine	–	–
2084N0400X	Psychiatry & Neurology, Neurology	–	–
2085R0001X		–	–
363AS0400X	Physician Assistant, Surgical	–	–
207V00000X	Obstetrics & Gynecology	–	KY

Practice location

2600 Stanley Gault Pkwy
Suite 201
Louisville, KY 40223-5129

Phone 502-238-2801 · Fax 502-238-2835

Mailing address

2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223-5132

Phone 502-253-4900 · Fax 502-238-2835

Authorized official

Katherine P Smith
Director
5022382801

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