Organization
KENTUCKY INPATIENT MEDICINE ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TALBOT GREEN MCCORMICK III MD (PRESIDENT)
(678) 441-8508
Entity
Organization
Contact information
Practice address
1 SAINT JOSEPH DR, SAINT JOSEPH HOSPITAL,, LEXINGTON, KY 40504-3742
(859) 313-2963
(785) 623-5045
Mailing address
5901-C PEACHTREE-DUNWOODY ROAD, SUITE 350, ATLANTA, GA 30328-7159
(678) 441-8556
(678) 441-8656
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
KY
207Q00000X
Family Medicine Physician
—
KY
207R00000X
Internal Medicine Physician
—
KY
208D00000X
General Practice Physician
—
KY
208M00000X
Hospitalist Physician
Primary
—
KY
363A00000X
Physician Assistant
—
KY
363L00000X
Nurse Practitioner
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33J2
BCBS - GROUP
KY
05
—
65901613
—
KY
01
—
78901162
KY MEDICAID - NP GROUP
KY
01
—
CH2140
RR MEDICARE - GROUP
KY
Enumeration date
05/03/2006
Last updated
04/09/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us