# BAPTIST HEALTH MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518360296
- **Authorized official:** MATTHEW LAZARI (VICE PRESIDENT)
- **Authorized official phone:** (502) 489-8668

## Contact information

- **Practice address:** 4071 TATES CREEK CENTRE DR, STE 202, LEXINGTON, KY 40517
- **Practice address phone:** (859) 260-4390
- **Practice address fax:** (859) 260-4399
- **Mailing address:** 1901 CAMPUS PL, LOUISVILLE, KY 40299-2308
- **Mailing address phone:** (502) 253-4911
- **Mailing address fax:** (502) 489-5751

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2085P0229X | Pediatric Radiology Physician | — | NULL | — |
| 2085P0229X | Pediatric Radiology Physician | — | — | — |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 261Q00000X | Clinic/Center | — | KY | — |
| 261QP2300X | Primary Care Clinic/Center | 900311 | KY | — |
| 261QR1300X | Rural Health Clinic/Center | — | KY | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/08/2014
- **Last updated:** 06/24/2026