BAPTIST HEALTH MEDICAL GROUP INC (NPI# 1588067268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588067268 |
| Entity Type | Organization |
| Organization Name | BAPTIST HEALTH MEDICAL GROUP INC |
| Other Organization Name | BAPTIST PHYSICIANS SOUTHEAST RADIOLOGY |
| Practice Address |
1 Trillium Way Corbin KY 40701-8727 |
| Practice Telephone | 6065238542 |
| Practice Fax Number | 6065288661 |
| Mailing Telephone | 6065238542 |
| Mailing Fax Number | 6065288661 |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2020-01-24 |
| Authorized Official Name | DANYEL D CLAY (EXECUTIVE DIRECTOR REVENUE CYCLE) |
| Authorized Official Telephone | 5022534911 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Baptist Physicians Southeast Radiology | Other Name - Individual/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 |
1 TRILLIUM WAY |
| City | CORBIN |
| State | KY |
| Zip Code | 40701-8727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659377950 | Mitchell Carl | Internal Medicine | 1 Trillium Way, Ste 302, Corbin, KY 40701-8426 | 2005-06-22 |
| 1114538204 | Kimberly Thompson | Nurse Practitioner | 1 Trillium Way, Corbin, KY 40701-8426 | 2020-08-12 |
| 1780293027 | Christina Ann North-woods | Nurse Practitioner | 1 Trillium Way, Corbin, KY 40701-8426 | 2020-07-22 |
| 1366050395 | Allison Elizabeth Lebron | Nurse Practitioner | 1 Trillium Way, Corbin, KY 40701-8426 | 2020-07-15 |
| 1558984443 | Brittany Belcher | Physician Assistant | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-05-26 |
| 1891318192 | Bridgette Nichole Smallwood | Physician Assistant | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-05-20 |
| 1417583659 | Regina Upchurch | Pharmacist | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-03-19 |
| 1396371795 | Kristin Cox | Pharmacist | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-03-17 |
| 1972137701 | Cassandra Petrey | Pharmacist | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-03-02 |
| 1215561055 | Amanda Alred Elza | Pharmacist | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1376014183 | Ruth Ann Thornhill | Nurse Practitioner | 521 E. Cumberland Gap Parkway #1, Corbin, KY 40701 | 2018-12-06 |
| 1770066136 | Grace Community Health Center, Inc. | Psychologist | 50 Ed Mcneel Drive, Corbin, KY 40701 | 2018-09-12 |
| 1235610353 | Linda Bales | Occupational Therapist | 112 Commonwealth Avenue, Corbin, KY 40701 | 2018-08-27 |
| 1710465398 | Holly Davina Bingham | Counselor | 1203 Amercn Grtg Card Rd, Corbin, KY 40701 | 2018-08-05 |
| 1881134914 | Angie Mossie Ledford | Nurse Practitioner | 521 Cumberland Gap Parkway #1, Corbin, KY 40701 | 2017-03-08 |
| 1669915609 | Energized Therapy | Occupational Therapist | 702 Phillips Lane, Corbin, KY 40701 | 2016-11-23 |
| 1649635293 | Debra Ann Hipsher | Counselor | 967 South Hwy 25 West, Corbin, KY 40701 | 2015-12-28 |
| 1356729438 | Sean William James | Family Medicine | 14949 N Us Highway 25 E Ste 4, Corbin, KY 40701 | 2015-05-11 |
| 1962847285 | Angela Davidson Gabbard | Dentist | 129 S. Hwy 1223, Corbin, KY 40701 | 2013-04-30 |
| Find all providers in zip 40701 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952487209 | William T Daniel II | Radiology | I Trillium Way, Corbin, KY 40701 | 2006-10-30 |
| 1306000591 | Lonnie Joseph Bargo | Radiology | 1 Trillium Way, Corbin, KY 40701-8727 | 2008-07-16 |
| 1760583322 | Harold W Reedy | Radiology | 1 Trillium Way, Corbin, KY 40701-8426 | 2006-09-26 |
| 1619078490 | Terri L Daniel-chumbley | Radiology | 1 Trillium Way, Corbin, KY 40701-8426 | 2006-09-26 |
| 1700986924 | Corbin Radiology, Pllc | Radiology | 1 Trillium Way, Corbin, KY 40701-8426 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300208 | Tammy Jo Wooding | Radiology | 2175 Rolling Hills Dr, Covington, KY 41017-5155 | 2020-09-11 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1174037949 | Justin Byron Hall | Radiology | 3452 Milam Ln, Lexington, KY 40502-3652 | 2017-11-30 |
| 1073046611 | Radiology Physician Solutions of Florida, LLC | Radiology | 106 Argyll Cir, Hazard, KY 41701-8932 | 2017-04-11 |
| 1750731048 | Brent A Pressman | Radiology | 800 Rose St Rm Hx-315, Lexington, KY 40536-1227 | 2016-06-16 |
| 1730541046 | Michael Daniel Dahle | Radiology | 530 S Jackson St # St-c07, Louisville, KY 40202-1675 | 2016-03-25 |
| 1245600949 | Advanced Ultrasound and Imaging LLC | Radiology | 7806 Turtle Run Ct, Prospect, KY 40059-8334 | 2015-10-07 |
| 1952783672 | Harit Kapoor | Radiology | 800 Rose St Rm No, Lexington, KY 40536-4818 | 2015-06-19 |
| 1093122046 | Kbc Somerset Imaging Pllc | Radiology | 40 Turpen Ct, Somerset, KY 42503-3464 | 2014-07-22 |
| 1952722142 | Telerad of Kentucky Account Management LLC | Radiology | 1701 West Ln, Nicholasville, KY 40356-9614 | 2013-12-15 |
| Find all providers with the same taxonomy | ||||
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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.