TAYLOR REGIONAL MEDICAL GROUP, LLC (NPI# 1649720699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649720699 |
| Entity Type | Organization |
| Organization Name | TAYLOR REGIONAL MEDICAL GROUP, LLC |
| Other Organization Name | TAYLOR REGIONAL PEDIATRICS |
| Practice Address |
125 Kingswood Dr Campbellsville KY 42718 |
| Mailing Address |
1698 Old Lebanon Rd Campbellsville KY 42718-9662 |
| Practice Telephone | 2707891112 |
| Mailing Telephone | 2707896087 |
| Mailing Fax Number | 2707896119 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2018-06-28 |
| Authorized Official Name | JANE WHEATLEY (CEO) |
| Authorized Official Telephone | 2704653561 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Taylor Regional Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083022727 | Taylor Regional Medical Group, LLC | Physical Therapist | 73 Kingswood Dr Ste B, Campbellsville, KY 42718 | 2014-07-25 |
| 1619981339 | Taylor Regional Medical Group, LLC | Podiatrist | 100 Medical Park Dr Ste B, Campbellsville, KY 42718 | 2006-07-28 |
| 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 |
125 KINGSWOOD DR |
| City | CAMPBELLSVILLE |
| State | KY |
| Zip Code | 42718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134131907 | William Smith | Emergency Medicine | 125 Kingswood Dr, Campbellsville, KY 42718-9634 | 2006-08-12 |
| 1619316239 | Taylor Regjional Medical Group,llc | Ophthalmology | 125 Kingswood Dr, Campbellsville, KY 42718-9634 | 2013-06-17 |
| 1134447410 | Matthew Scott Martin | Pediatrics | 125 Kingswood Dr, Campbellsville, KY 42718 | 2010-05-11 |
| 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 |
| 1083022727 | Taylor Regional Medical Group, LLC | Physical Therapist | 73 Kingswood Dr Ste B, Campbellsville, KY 42718 | 2014-07-25 |
| 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 |
| Find all providers in zip 42718 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306948922 | Dan George Bodeanu | Pediatrics | 307 E Broadway St, Campbellsville, KY 42718-2003 | 2006-09-03 |
| 1134447410 | Matthew Scott Martin | Pediatrics | 125 Kingswood Dr, Campbellsville, KY 42718 | 2010-05-11 |
| 1629200076 | University Pediatrics Foundation, Inc. | Pediatrics | 73 Kingswood Dr, Campbellsville, KY 42718-9604 | 2009-08-19 |
| 1982721254 | David Michael Hesson | Pediatrics | 73 Kingswood Dr, Campbellsville, KY 42718-9604 | 2007-03-23 |
| 1174699359 | Premium Pediatrics Pllc | Pediatrics | 307 E Broadway St, Campbellsville, KY 42718-2003 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205452836 | Jenna M. Richards Do | Pediatrics | 793 Eastern Byp Ste 110, Richmond, KY 40475-2425 | 2020-06-19 |
| 1598384745 | Breckinridge Health Clinic | Pediatrics | 203b Fairgrounds Rd, Hardinsburg, KY 40143-2585 | 2020-04-08 |
| 1811533433 | Grace Community Health Center, Inc. | Pediatrics | 120 N Commonwealth Ave Ste 123&4, Corbin, KY 40701-6472 | 2019-11-19 |
| 1558827774 | August Pediatrics, LLC | Pediatrics | 123 N 19th St Ste 302, Middlesboro, KY 40965 | 2019-02-12 |
| 1306316989 | Jacquee L Mcnear | Pediatrics | 801 Barret Avenue Suite 314, Louisville, KY 40204-1701 | 2018-11-27 |
| 1477059657 | Advanced Care Pediatric Centre Pllc | Pediatrics | 1000 E Lexington Ave Ste 31, Danville, KY 40422-1707 | 2018-04-05 |
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| 1154855054 | John Michael Jansen | Pediatrics | 3320 Tates Creek Rd Ste 302, Lexington, KY 40502-3400 | 2017-04-18 |
| 1396286407 | Alvarado Medical Services Pllc | Pediatrics | 25 E Hickman St, Winchester, KY 40391-2448 | 2017-03-09 |
| 1407218589 | Caitlyn Anglin | Pediatrics | University of Kentucky 800 Rose St Rm Mn 118, Lexington, KY 40536-1356 | 2016-03-28 |
| 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.