Organization
DO NOT USE
Active
Parent organization
BAPTIST MEDICAL ASSOCIATES INC.
Other names
BMA Surg
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAPTIST MEDICAL ASSOCIATES INC.
Authorized official
JOHN WORTLEY (EXECUTIVE DIRECTOR)
(502) 238-2801
Entity
Organization
Contact information
Practice address
2600 STANLEY GAULT PKWY, SUITE 201, LOUISVILLE, KY 40223-4197
(502) 238-2801
(502) 238-2835
Mailing address
2600 STANLEY GAULT PKWY, SUITE 201, LOUISVILLE, KY 40223-4197
(502) 238-2801
(502) 238-2835
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
KY
207R00000X
Internal Medicine Physician
—
KY
208600000X
Surgery Physician
Primary
—
—
208D00000X
General Practice Physician
—
KY
Other
Enumeration date
03/29/2007
Last updated
08/03/2010
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