Organization
BAPTIST HEALTH MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANYEL D CLAY (VP, REVENUE CYCLE)
(502) 253-4911
Entity
Organization
Contact information
Practice address
1901 CAMPUS PL, LOUISVILLE, KY 40299-2308
(502) 253-4911
(502) 489-5750
Mailing address
1901 CAMPUS PL, LOUISVILLE, KY 40299-2308
(502) 253-4911
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
208600000X
Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
208M00000X
Hospitalist Physician
—
—
261QP1100X
Podiatric Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100200770
—
KY
05
—
7100213470
—
KY
05
—
7100216590
—
KY
Enumeration date
11/10/2011
Last updated
07/22/2024
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