TAYLOR REGIONAL MEDICAL GROUP, LLC (NPI# 1083022727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083022727 |
| Entity Type | Organization |
| Organization Name | TAYLOR REGIONAL MEDICAL GROUP, LLC |
| Other Organization Name | TAYLOR REGIONAL NEUROLOGY |
| Practice Address |
73 Kingswood Dr Ste B Campbellsville KY 42718 |
| Mailing Address |
1698 Old Lebanon Rd Campbellsville KY 42718-9662 |
| Practice Telephone | 2707896175 |
| Practice Fax Number | 2707893157 |
| Mailing Telephone | 2707896087 |
| Mailing Fax Number | 2707896119 |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2019-09-25 |
| Authorized Official Name | MELISSA CARTER (OFFICE COORDINATOR) |
| Authorized Official Telephone | 2707896087 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251E1300X |
Physical Therapist Specialization: Electrophysiology, Clinical |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Taylor Regional Neurology | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 197 Will Walker Rd, Columbia, KY 427287436 | 2707896175 | 2707893157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619981339 | Taylor Regional Medical Group, LLC | Podiatrist | 100 Medical Park Dr Ste B, Campbellsville, KY 42718 | 2006-07-28 |
| 1649720699 | Taylor Regional Medical Group, LLC | Nurse Practitioner | 125 Kingswood Dr, Campbellsville, KY 42718 | 2016-10-13 |
| 1750704045 | Taylor Regional Medical Group, LLC | Surgery | 1698 Old Lebanon Rd, Campbellsville, KY 42718-9662 | 2014-01-23 |
| 1699030031 | Taylor Regional Medical Group, LLC | Family Medicine | 67 Kingswood Dr, Campbellsville, KY 42718-9647 | 2012-07-11 |
| 1326052002 | Taylor Regional Medical Group, LLC | Physician Assistant | 1698 Old Lebanon Rd, Suite 2a, Campbellsville, KY 42718-9662 | 2006-07-28 |
| Street Address |
73 KINGSWOOD DR STE B |
| City | CAMPBELLSVILLE |
| State | KY |
| Zip Code | 42718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619417763 | Heather Hastings | Dentist | 2065 Meadow Creek Rd, Campbellsville, KY 42718 | 2017-03-07 |
| 1487101804 | Amanda Rose Shepperd | Nurse Practitioner | 1846-1856 Old Lebanon Rd, Campbellsville, KY 42718 | 2016-09-01 |
| 1841660305 | Forefront Dermatology, S.c. | Dermatology | 105 Medical Park Dr Ste 1, Campbellsville, KY 42718 | 2015-09-28 |
| 1154790616 | Viktoria Krell | Counselor | 3020 Old Lebanon Road, Campbellsville, KY 42718 | 2015-09-15 |
| 1679977649 | Joy Trotter | Occupational Therapist | 121a Casey Street, Campbellsville, KY 42718 | 2014-10-20 |
| 1235574831 | Rachael Maia Yates | Clinical Neuropsychologist | 50 Gene Cash Road, Campbellsville, KY 42718 | 2013-05-08 |
| 1255536579 | Elizabethtown Physical Therapy Psc | Clinic/Center | 315 East Broadway, Campbellsville, KY 42718 | 2007-06-18 |
| 1508900283 | Lake Cumberland District Health Department | Public Health or Welfare | 1880 N Bypass Road, Campbellsville, KY 42718 | 2007-02-16 |
| 1871639005 | Joseph William Segree | Optometrist | 725 Campbellsville Bypass, Campbellsville, KY 42718 | 2007-01-29 |
| 1174676480 | Edward L Baise | Pharmacist | 325 East Broadway, Campbellsville, KY 42718 | 2007-01-19 |
| Find all providers in zip 42718 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215469366 | Paige Elise Sutton | Psychiatry & Neurology | 740 S Limestone Rm L-445, Lexington, KY 40536 | 2017-03-29 |
| 1356872238 | Fred Ochieng Odago | Psychiatry & Neurology | 3518 Willowood Rd, Lexington, KY 40517-2760 | 2017-03-23 |
| 1558811323 | Kentucky Medical Center, Psc | Psychiatry & Neurology | 208 Legends Ln, Suite 130, Lexington, KY 40505-3285 | 2016-10-05 |
| 1114372141 | Marwa Ali Mahgoub Elnazeir | Psychiatry & Neurology | 401 E Chestnut St Ste 500, Louisville, KY 40202-5700 | 2016-04-27 |
| 1427411537 | James Lamb | Psychiatry & Neurology | 500 S Preston St Dept Of, Hsc #113, Louisville, KY 40202-1702 | 2016-04-05 |
| 1194111807 | Murali Kolikonda | Psychiatry & Neurology | 500 S. Preston St., Rm. 113, Louisville, KY 40202 | 2015-04-09 |
| 1366852311 | Ruta Nandan Yardi | Psychiatry & Neurology | 740 S Limestone Ste B101, Lexington, KY 40536-0284 | 2014-04-30 |
| 1639511041 | Sushanth Rao Aroor | Psychiatry & Neurology | 740 S Limestone L445, Lexington, KY 40508-0284 | 2013-07-26 |
| 1629412150 | Lei Zhou | Psychiatry & Neurology | 740 S Limestone Room L-445, Lexington, KY 40536-1200 | 2013-04-26 |
| 1629344882 | Patricia A Kleinholz-owens | Psychiatry & Neurology | 1800 Nicholasville Rd Ste 301, Lexington, KY 40503-1443 | 2012-03-31 |
| Find all providers with the same taxonomy | ||||
| City | CAMPBELLSVILLE |
| Zip Code | 42718 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.