BAPTIST HEALTH MEDICAL GROUP INC (NPI# 1487984514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487984514 |
| Entity Type | Organization |
| Organization Name | BAPTIST HEALTH MEDICAL GROUP INC |
| Other Organization Name | CBC GROUP CONSULTING IN BLOOD DISORDERS & CANCER |
| Practice Address |
4003 Kresge Way Suite 500 Louisville KY 40207-4652 |
| Mailing Address |
Po Box 950237 Louisville KY 40295-0237 |
| Practice Telephone | 5028971166 |
| Practice Fax Number | 5028971461 |
| Mailing Telephone | 5022382801 |
| Mailing Fax Number | 5022382835 |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2015-02-05 |
| Authorized Official Name | KATHERINE P. SMITH (REVENUE CYCLE & TECHNOLOGY DIRECTOR) |
| Authorized Official Telephone | 5022382801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CBC Group Consulting in Blood Disorders & Cancer | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265072946 | Baptist Health Medical Group Inc | Clinic/Center | 800 Hospital Dr Fl 2, Madisonville, KY 42431-1658 | 2020-01-10 |
| 1578118816 | Baptist Health Medical Group Inc | Clinic/Center | 2601 Kentucky Ave Ste 103, Paducah, KY 42003-3817 | 2019-08-05 |
| 1720557747 | Baptist Health Medical Group Inc | Clinic/Center | 870 Taylorsville Rd, Taylorsville, KY 40071-0819 | 2018-11-20 |
| 1174091771 | Baptist Health Medical Group Inc | Clinic/Center | 313 Federal Dr Nw Ste 130, Corydon, IN 47112-3099 | 2018-11-13 |
| 1780961300 | Baptist Health Medical Group Inc | Physician Assistant | 5200 Commerce Crossings Dr Fl 3, Louisville, KY 40229-2182 | 2011-11-10 |
| 1558984633 | Baptist Health Medical Group Inc | Clinic/Center | 534 Hillcrest Dr, Brandenburg, KY 40108-1222 | 2020-05-22 |
| 1093338527 | Baptist Health Medical Group Inc | Psychiatry & Neurology | 2413 Ring Rd Ste 100, Elizabethtown, KY 42701-5924 | 2020-05-19 |
| 1104471440 | Baptist Health Medical Group Inc | Clinic/Center | 610 E Brannon Rd, Nicholasville, KY 40356-6066 | 2019-08-05 |
| 1831744176 | Baptist Health Medical Group Inc | Clinic/Center | 648 University Shopping Ctr, Richmond, KY 40475-2614 | 2019-08-05 |
| 1912552258 | Baptist Health Medical Group Inc | Clinic/Center | 140 Stonecrest Rd Ste 101, Shelbyville, KY 40065-8143 | 2019-08-05 |
| Street Address |
4003 KRESGE WAY SUITE 500 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415099 | Adrian J Pellegrini | Psychiatry & Neurology | 4003 Kresge Way, Ste 224, Louisville, KY 40207-4652 | 2005-05-23 |
| 1821534546 | Crystal Labbato | Nurse Practitioner | 4003 Kresge Way, Suite 100, Louisville, KY 40207-4652 | 2017-01-19 |
| 1255889721 | Alana Darnall | Nurse Practitioner | 4003 Kresge Way, Suite 228, Louisville, KY 40207-4652 | 2016-09-14 |
| 1376940569 | Stephanie Anne Wilson | Nurse Practitioner | 4003 Kresge Way, Suite 500, Louisville, KY 40207-4652 | 2014-12-03 |
| 1184026205 | Wendi Suzanne Haller | Nurse Practitioner | 4003 Kresge Way, Suite 312, Louisville, KY 40207-4652 | 2014-09-19 |
| 1336572601 | Baptist Health Medical Group Inc | Nurse Practitioner | 4003 Kresge Way, Suite 410, Louisville, KY 40207-4652 | 2013-08-09 |
| 1235430166 | Gigi Michelle Manuel | Nurse Practitioner | 4003 Kresge Way, Suite 100, Louisville, KY 40207-4652 | 2010-11-09 |
| 1669773511 | Whitney Dawn Perry | Nurse Practitioner | 4003 Kresge Way, Ste 500, Louisville, KY 40207-4652 | 2010-11-09 |
| 1215240627 | Shana Cassady | Nurse Practitioner | 4003 Kresge Way, Suite 500, Louisville, KY 40207-4652 | 2010-07-15 |
| 1659604536 | Vonnie L Rodgers | Nurse Practitioner | 4003 Kresge Way, Suite 221, Louisville, KY 40207-4652 | 2009-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083938542 | Metro Hematology Oncology, Pllc | Internal Medicine | 3620 Wynbrooke Cir, Louisville, KY 40241 | 2010-03-26 |
| 1275670788 | Wangjian Zhong | Internal Medicine | 4003 Kresge Way Ste 500, Louisville, KY 40207-5603 | 2007-01-31 |
| 1619946159 | Khuda Dad Khan | Internal Medicine | 315 E Broadway Fl 4, Louisville, KY 40202 | 2006-03-16 |
| 1609876978 | Michael G Carroll | Internal Medicine | 1460 Bluegrass Ave, Louisville, KY 40215-1272 | 2005-07-28 |
| 1053318717 | Christopher C Croot | Internal Medicine | 100 E Liberty St, Suite 800, Louisville, KY 40202-1434 | 2005-07-07 |
| 1285084558 | Satish Stephen Maharaj | Internal Medicine | 529 S Jackson St, Louisville, KY 40202 | 2016-06-17 |
| 1295118644 | Drew Carl Drennan Murray | Internal Medicine | 529 S Jackson St, Louisville, KY 40202 | 2015-07-02 |
| 1417367210 | Phuong Tuyet Ngo | Internal Medicine | 529 S Jackson St, Louisville, KY 40202-3229 | 2014-05-01 |
| 1831464940 | University of Louisville Physicians, Inc. | Internal Medicine | 529 S Jackson St, Louisville, KY 40202-3229 | 2012-03-22 |
| 1568737674 | University of Louisville Physicians, Inc. | Internal Medicine | 529 S Jackson St, Louisville, KY 40202-3229 | 2012-03-22 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
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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.