TAYLOR REGIONAL MEDICAL GROUP, LLC (NPI# 1699030031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699030031 |
| Entity Type | Organization |
| Organization Name | TAYLOR REGIONAL MEDICAL GROUP, LLC |
| Other Organization Name | TAYLOR REGIONAL HOSPITAL CARE CENTER |
| Practice Address |
67 Kingswood Dr Campbellsville KY 42718-9647 |
| Practice Telephone | 2708492379 |
| Mailing Telephone | 2708492379 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2017-09-11 |
| 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Taylor Regional Hospital Care Center | 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 |
| 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 |
| 1326052002 | Taylor Regional Medical Group, LLC | Physician Assistant | 1698 Old Lebanon Rd, Suite 2a, Campbellsville, KY 42718-9662 | 2006-07-28 |
| Street Address |
67 KINGSWOOD DR |
| City | CAMPBELLSVILLE |
| State | KY |
| Zip Code | 42718-9647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508864117 | Thomas L Rogers | Internal Medicine | 67 Kingswood Dr, Campbellsville, KY 42718-9647 | 2005-07-08 |
| 1245842566 | Dana Michelle Garrett | Nurse Practitioner | 67 Kingswood Dr, Campbellsville, KY 42718-9647 | 2020-08-18 |
| 1548742869 | Kelli Stearman Nunn | Nurse Practitioner | 67 Kingswood Dr, Campbellsville, KY 42718 | 2018-09-04 |
| 1548782758 | William Griffin Tucker | Family Medicine | 67 Kingswood Dr, Campbellsville, KY 42718 | 2017-07-10 |
| 1346762663 | Morgan Altman | Nurse Practitioner | 67 Kingswood Dr, Campbellsville, KY 42718-9647 | 2017-07-07 |
| 1437510609 | Brandy Thompson | Nurse Practitioner | 67 Kingswood Dr, Campbellsville, KY 42718-9647 | 2016-03-15 |
| 1336521616 | Michael Haliday | Nurse Practitioner | 67 Kingswood Dr, Campbellsville, KY 42718-9647 | 2015-06-23 |
| 1518220227 | Taylor Regional Hospital Urgent Care Center,llc | Family Medicine | 67 Kingswood Dr, Campbellsville, KY 42718-9647 | 2012-06-18 |
| 1174768717 | Taylor Regional Medical Group LLC | Internal Medicine | 67 Kingswood Dr, Campbellsville, KY 42718-9647 | 2008-12-11 |
| 1104018944 | Taylor County Hospital District Health Facilities Corporation | Internal Medicine | 67 Kingswood Dr, Campbellsville, KY 42718-9647 | 2007-08-15 |
| Find all providers in the same location | ||||
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756012 | Bethany Faye Sullivan | Nurse Practitioner | 4760 New Lebanon Rd, Campbellsville, KY 42718-9246 | 2020-10-06 |
| 1508425844 | Abby Carter | Nurse Practitioner | 796 W Broadway St, Campbellsville, KY 42718-2783 | 2019-06-11 |
| 1356809768 | Stacey C Greenwell-osborne | Nurse Practitioner | 138 Campbellsville Byp Ste 5, Campbellsville, KY 42718-8843 | 2019-03-05 |
| 1487101804 | Amanda Rose Shepperd | Nurse Practitioner | 1846-1856 Old Lebanon Rd, Campbellsville, KY 42718 | 2016-09-01 |
| 1841447059 | Mary J Morrison | Nurse Practitioner | 1327 E Broadway St Ste B, Campbellsville, KY 42718-1599 | 2008-08-20 |
| 1972656379 | Susan Ashley Shively | Nurse Practitioner | 803 Lebanon Ave, Campbellsville, KY 42718-1809 | 2007-01-19 |
| 1295810786 | Kimberly Rose Mckenna | Nurse Practitioner | 102 Winston Way Ste 5, Campbellsville, KY 42718-4991 | 2006-10-25 |
| 1477592293 | Melony Kay Cundiff-adams | Nurse Practitioner | 522 N Hoskins Ave, Campbellsville, KY 42718-2117 | 2006-06-06 |
| 1265039309 | Melissa Simpson | Nurse Practitioner | 102 Winston Way Ste 5, Campbellsville, KY 42718-4991 | 2020-10-01 |
| 1487261228 | Laree Shively | Nurse Practitioner | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 | 2020-09-25 |
| Find all providers in CAMPBELLSVILLE | ||||
| City | CAMPBELLSVILLE |
| Zip Code | 42718 |
Please comment or provide details below to improve the information on TAYLOR REGIONAL MEDICAL GROUP, LLC.
| 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.