# BAPTIST PHYSICIANS LEXINGTON, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BAPTIST PHYSICIANS LEXINGTON, INC
- **Other names:** Baptist Family Medicine at Northside
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1922282383
- **Legal business name:** BAPTIST PHYSICIANS LEXINGTON, INC
- **Authorized official:** WILLIAM SISSON (PRESIDENT)
- **Authorized official phone:** (859) 260-6104

## Contact information

- **Practice address:** 1782 BRYAN STATION RD, LEXINGTON, KY 40505-2133
- **Practice address phone:** (859) 294-0077
- **Practice address fax:** (859) 294-0078
- **Mailing address:** 1782 BRYAN STATION RD, LEXINGTON, KY 40505-2133
- **Mailing address phone:** (859) 294-0077
- **Mailing address fax:** (859) 294-0078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2007
- **Last updated:** 02/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 64111156 | — | KY |
| 05 | — | 65945578 | — | KY |
