Organization
BAPTIST HEALTH MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE P SMITH (DIRECTOR)
(502) 238-2801
Entity
Organization
Contact information
Practice address
2600 STANLEY GAULT PKWY, SUITE 201, LOUISVILLE, KY 40223-5129
(502) 238-2801
(502) 238-2835
Mailing address
2700 STANLEY GAULT PKWY, STE 129, LOUISVILLE, KY 40223-5132
(502) 253-4900
(502) 238-2835
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
KY
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
208600000X
Surgery Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
KY
208D00000X
General Practice Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00162
MEDICARE GROUP
—
05
—
65946188
—
KY
05
—
65946246
—
KY
Enumeration date
10/11/2006
Last updated
02/05/2015
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