BAPTIST HEALTH MEDICAL GROUP, INC (NPI# 1457480949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457480949 |
Entity Type | Organization |
Organization Name | BAPTIST HEALTH MEDICAL GROUP, INC |
Practice Address |
1010 Medical Center Dr Powderly KY 42367-5463 |
Mailing Address |
Po Box 950248 Louisville KY 40295-0248 |
Practice Telephone | 2703771600 |
Practice Fax Number | 2703380229 |
Mailing Telephone | 5022534900 |
Mailing Fax Number | 5024895750 |
Enumeration Date | 2007-03-02 |
Last Update Date | 2016-11-02 |
Authorized Official Name | CATHERINE A ZOELLER (VICE PRESIDENT) |
Authorized Official Telephone | 5028965092 |
Authorized Official Credential | VP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 35002054 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821279456 | Baptist Health Medical Group, Inc | Family Medicine | 1010 Medical Center Dr, Powderly, KY 42367-5463 | 2007-11-26 |
Street Address |
1010 MEDICAL CENTER DR |
City | POWDERLY |
State | KY |
Zip Code | 42367-5463 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881695815 | Eric L Bandy | Internal Medicine | 1010 Medical Center Dr, Powderly, KY 42367-5463 | 2005-08-01 |
1306327168 | Brittany Nicole Grega | Physician Assistant | 1010 Medical Center Dr, Powderly, KY 42367-5463 | 2018-08-28 |
1477048684 | Baptist Health Medical Group Inc | Clinic/Center | 1010 Medical Center Dr, Powderly, KY 42367-5463 | 2018-06-29 |
1477076487 | Brandi E Kost | Nurse Practitioner | 1010 Medical Center Dr, Powderly, KY 42367-5463 | 2017-07-21 |
1639620859 | Timothy I Durbin | Nurse Practitioner | 1010 Medical Center Dr, Powderly, KY 42367-5463 | 2016-10-24 |
1689124141 | Crystal Lynn Ward | Nurse Practitioner | 1010 Medical Center Dr, Powderly, KY 42367 | 2016-10-09 |
1639534241 | Jessica Leigh Anderson-brown | Nurse Practitioner | 1010 Medical Center Dr, Powderly, KY 42367-5463 | 2015-12-24 |
1154728079 | Brittany Blue | Physical Therapist | 1010 Medical Center Dr, Powderly, KY 42367-5463 | 2014-11-20 |
1235553991 | Sandi Walker | Physical Therapist | 1010 Medical Center Dr, Powderly, KY 42367-5463 | 2014-02-14 |
1881037323 | Jane Hope Reed | Nurse Practitioner | 1010 Medical Center Dr, Powderly, KY 42367-5463 | 2013-04-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487824553 | Stephen Wood, Od | Optometrist | 609 W Main, Powderly, KY 42367 | 2008-03-05 |
1124029160 | Brian Wayne Chaney | Internal Medicine | 1010 Medical Center Drive, Powderly, KY 42367 | 2005-08-01 |
1518959923 | Cheri Lynn Fogle | Nurse Practitioner | 1010 Medical Center Drive, Powderly, KY 42367 | 2005-08-22 |
1023019130 | Ms Community Health LLC | General Practice | 1010 Medical Center Drive, Powderly, KY 42367 | 2005-08-10 |
1841291390 | Gary D Givens | General Practice | 1010 Medical Center Drive, Powderly, KY 42367 | 2005-08-09 |
1073514030 | Kristy G Chappell | Family Medicine | 1010 Medical Center Drive, Powderly, KY 42367 | 2005-08-02 |
1952453813 | George Stephen Wood | Optometrist | 609 West Main St, Powderly, KY 42367-0100 | 2007-01-18 |
1700194388 | Oh Muhlenberg, LLC | Clinic/Center | 2025 W Everly Brothers Blvd Ste 2a, Powderly, KY 42367-5401 | 2010-09-17 |
1144281791 | Mark A. Tackett | Family Medicine | 2025 W Everly Brothers Blvd, Powderly, KY 42367-5401 | 2006-03-31 |
1144228040 | Terry Lynn Mcpherson | Physician Assistant | 2025 W Everly Brothers Blvd Ste 1a, Powderly, KY 42367-5401 | 2005-07-13 |
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Taxonomy Code | 291U00000X |
Grouping | Laboratories |
Classification | Clinical Medical Laboratory |
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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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.