# KENTUCKYONE HEALTH MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHI Saint Joseph Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902238694
- **Authorized official:** CARMEL JONES (COO)
- **Authorized official phone:** (859) 313-1713

## Contact information

- **Practice address:** 1401 HARRODSBURG RD, LEXINGTON, KY 40504-3751
- **Practice address phone:** (606) 330-7835
- **Practice address fax:** (606) 330-7825
- **Mailing address:** PO BOX 936, LONDON, KY 40743-0936
- **Mailing address phone:** (606) 330-7835
- **Mailing address fax:** (606) 330-7825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | KY | — |
| 207QA0505X | Adult Medicine Physician | — | KY | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | KY | — |
| 207X00000X | Orthopaedic Surgery Physician | — | KY | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 208800000X | Urology Physician | — | KY | — |
| 208D00000X | General Practice Physician | — | KY | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | KY | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | KY | — |
| 363A00000X | Physician Assistant | — | KY | — |
| 363L00000X | Nurse Practitioner | — | KY | — |
| 367A00000X | Advanced Practice Midwife | — | KY | — |

## Other

- **Enumeration date:** 08/05/2013
- **Last updated:** 08/14/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000060604 | ANTHEM GRP \# | KY |
| 05 | — | 200434820A | — | IN |
| 05 | — | 7100161650 (FRAZIER) | — | KY |
| 05 | — | 7100200840 (LCSW) | — | KY |
| 05 | — | 7100200870 (MD) | — | KY |
| 05 | — | 7100200880 (CRNA) | — | KY |
| 05 | — | 7100200890 (PA) | — | KY |
| 05 | — | 7100225220 (FFM) | — | KY |
| 05 | — | 7100246920 (SALEEM) | — | KY |
| 05 | — | 7100247000 (SFM-SHE) | — | KY |
| 05 | — | 7100292390 (DPM) | — | KY |
| 05 | — | 78904851 (NP) | — | KY |