TAYLOR REGIONAL MEDICAL GROUP (NPI# 1932157120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932157120 |
| Entity Type | Organization |
| Organization Name | TAYLOR REGIONAL MEDICAL GROUP |
| Other Organization Name | LLEWELYN HORTILLOSA M.D. |
| Practice Address |
1700 Old Lebanon Rd Campbellsville KY 42718-9615 |
| Practice Telephone | 2704653561 |
| Practice Fax Number | 2707895805 |
| Mailing Telephone | 2704653561 |
| Mailing Fax Number | 2707895805 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2010-12-29 |
| Authorized Official Name | DAVID MASSENGALE (CFO) |
| Authorized Official Telephone | 2704653561 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
KY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Llewelyn Hortillosa M.D. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649422759 | Taylor Regional Medical Group | Nurse Practitioner | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 | 2008-10-21 |
| 1205017464 | Taylor Regional Medical Group | Nurse Practitioner | 125 Greenbriar Dr, Campbellsville, KY 42718-9616 | 2007-11-16 |
| 1306850052 | Taylor Regional Medical Group | Radiology | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 | 2006-07-28 |
| Street Address |
1700 OLD LEBANON RD |
| City | CAMPBELLSVILLE |
| State | KY |
| Zip Code | 42718-9615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679576342 | Tanya M Hayes | Internal Medicine | 1700 Old Lebanon Rd, Campbellsville, KY 42718 | 2005-05-24 |
| 1508473968 | Michael Atcher | Nurse Anesthetist, Certified Registered | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 | 2020-09-29 |
| 1487261228 | Laree Shively | Nurse Practitioner | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 | 2020-09-25 |
| 1104430297 | Maci Mcqueary | Nurse Practitioner | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 | 2020-09-04 |
| 1861034787 | Ashlie Marie Aviles | Physician Assistant | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 | 2019-10-11 |
| 1679926448 | Donald Emerson Dick | Physician Assistant | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 | 2016-07-18 |
| 1205226933 | Taylor County Hospital District Health Facilities Corporation | Pharmacy | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 | 2015-02-03 |
| 1689062036 | Andrew Hancock | Nurse Anesthetist, Certified Registered | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 | 2015-01-07 |
| 1821405473 | Jo Lisa Gensley | Physician Assistant | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 | 2014-07-15 |
| 1750652186 | Nicole Marie Juhasz | Nurse Anesthetist, Certified Registered | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 | 2012-01-17 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104876192 | Llewelyn Hortillosa | Psychiatry & Neurology | 1320 E Broadway St, Ste A, Campbellsville, KY 42718-1596 | 2006-05-11 |
| 1225331820 | Heartland Psychiatry, Pllc | Psychiatry & Neurology | 1320 E Broadway St, Campbellsville, KY 42718-1596 | 2010-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174136337 | Virtual Consult Md LLC | Psychiatry & Neurology | 2202 Hwy 41 North, Unit E 152, Hendereson, KY 42420 | 2020-08-27 |
| 1821637125 | Ocean Behavioral Healthcare LLC | Psychiatry & Neurology | 310 E Broadway Ste 102, Louisville, KY 40202-1745 | 2020-01-03 |
| 1457995912 | Pain Management Centers of America, Psc | Psychiatry & Neurology | 1710 Highway 121 Byp N Ste I, Murray, KY 42071-8925 | 2019-10-28 |
| 1740823780 | Whidbey Island Public Hospital District | Psychiatry & Neurology | 761 Jefferson Pl, Taylor Mill, KY 41015-2233 | 2019-10-22 |
| 1003343518 | Daniella Gavito | Psychiatry & Neurology | 245 Fountain Ct # 225, Lexington, KY 40509-1888 | 2017-05-15 |
| 1639532534 | Chelsea Ann Atwater | Psychiatry & Neurology | 245 Fountain Ct # P225, Lexington, KY 40509 | 2016-03-30 |
| 1093108474 | National Behavioral Health | Psychiatry & Neurology | 3793 Everetts Dl, Lexington, KY 40514-1190 | 2015-03-10 |
| 1972902526 | S. Montgomery Md & Associates Behavioral Healthcare | Psychiatry & Neurology | 620 Carlton Drive, Suite 101, Owensboro, KY 42303 | 2014-08-20 |
| 1922427517 | Astra Behavioral Health LLC | Psychiatry & Neurology | 2000 Ring Rd, Elizabethtown, KY 42701-9454 | 2014-04-10 |
| 1285053058 | Tms Center of Lexington, Pllc | Psychiatry & Neurology | 1000 Monarch St Ste 280, Lexington, KY 40513-1494 | 2014-04-09 |
| 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.