Stephanie Whitlock (NPI# 1588946107, PAC ID# 5890959209) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1588946107 |
| PAC ID by PECOS | 5890959209 |
| Professional Enrollment ID | I20120615000270 |
| Full Name | Stephanie Whitlock |
| Organization Legal Name | TAYLOR REGIONAL MEDICAL GROUP, LLC |
| Address |
1700 Old Lebanon Rd Campbellsville KY 42718-9662 |
| Phone Number | 2707896116 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4880616622 |
| Number of Group Practice Members | 57 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180149 | TJ HEALTH COLUMBIA |
| 180087 | TAYLOR REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1700 Old Lebanon Rd, Campbellsville, KY 42718-9662 | 2707896116 | TAYLOR REGIONAL MEDICAL GROUP, LLC |
| 901 Westlake Dr, Columbia, KY 42728-1123 | 2703844753 | T J HEALTH COLUMBIA INC |
| Organization Legal Name | TAYLOR REGIONAL MEDICAL GROUP, LLC |
| Physicians | 51 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meredith Angel | Urology | Taylor Regional Medical Group, LLC | 1698 Old Lebanon Rd, 3b, Campbellsville, KY 42718-9662 |
| Meredith H Gilpin | Physician Assistant | Taylor Regional Medical Group, LLC | 325 W Walnut St, Lebanon, KY 40033-1382 |
| Courtney R Bowling | Nurse Practitioner | Taylor Regional Medical Group, LLC | 73 Kingswood Dr, Campbellsville, KY 42718-9604 |
| Ashley P Turner | Physician Assistant | Taylor Regional Medical Group, LLC | 125 Greenbriar Dr, Campbellsville, KY 42718-9616 |
| Jason Alan Wright | Nurse Practitioner | Taylor Regional Medical Group, LLC | 325 N Walnut St, Lebanon, KY 40033-1377 |
| Leslie D Simmons | Nurse Practitioner | Taylor Regional Medical Group, LLC | 105 Greenbriar Dr, Suite B, Campbellsville, KY 42718-9617 |
| Diane L Thiery | Nurse Practitioner | Taylor Regional Medical Group, LLC | 127 Kingswood Dr, Campbellsville, KY 42718-9634 |
| Eugene H Shively | General Surgery | Taylor Regional Medical Group, LLC | 522 N Hoskins Ave, Campbellsville, KY 42718-2117 |
| Jacquelyn Marie Brendel | Nurse Practitioner | Taylor Regional Medical Group, LLC | 67 Kingswood Dr, Campbellsville, KY 42718-9647 |
| Dennis Scott Wooley | Nurse Practitioner | Taylor Regional Medical Group, LLC | 95 Kingswood Dr, Campbellsville, KY 42718-9604 |
| Street Address |
1700 OLD LEBANON RD |
| City | CAMPBELLSVILLE |
| State | KY |
| Zip | 42718-9662 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashlie Camp | Nurse Practitioner | Southeastern Emergency Services P C | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9600 |
| Dorothy M Dudley | Nurse Practitioner | Taylor Regional Medical Group, LLC | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9662 |
| Sean T Desimone | Internal Medicine | Taylor Regional Medical Group, LLC | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9662 |
| Gary M Frazier | Anesthesiology | Taylor County Anesthesia Psc | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 |
| Paul D Thomas | Emergency Medicine | Southeastern Emergency Physicians LLC | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 |
| Sunnie D Monin | Certified Registered Nurse Anesthetist (crna) | Taylor County Anesthesia Psc | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 |
| Tanya M Hayes | Internal Medicine | Taylor Regional Medical Group, LLC | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9662 |
| Andrew J Hancock | Certified Registered Nurse Anesthetist (crna) | Taylor County Anesthesia Psc | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 |
| Joel D Eade | Internal Medicine | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 | |
| James B Frank | Internal Medicine | Taylor Regional Medical Group, LLC | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9662 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kellee D Frogge | Family Medicine | 410 Hotchkiss St, Campbellsville, KY 42718-1340 | |
| Summer Raye Tucker | Family Medicine | 410 Hotchkiss St, Campbellsville, KY 42718-1340 | |
| Vicki Lou Van Cleave | Psychologist, Clinical | 112 Roberts Rd, Suite 1, Campbellsville, KY 42718-1593 | |
| Abrielle D Conway | Clinical Psychologist | 112 Roberts Rd, Unit 1, Campbellsville, KY 42718-1593 | |
| Lora D Sztendera | Family Medicine | 407 E 1st St, Campbellsville, KY 42718-1836 | |
| Raymond A Roberts | Chiropractic | 108 Lebanon Ave, Campbellsville, KY 42718-1839 | |
| Eugene H Shively | General Surgery | Taylor Regional Medical Group, LLC | 522 N Hoskins Ave, Campbellsville, KY 42718-2117 |
| Deborah K Gabbert | Qualified Speech Language Pathologist | Orthodyne, LLC | 190 W Broadway St, Suite 103, Campbellsville, KY 42718-2281 |
| Kyle B Salsbury | Physical Therapy | Orthodyne, LLC | 190 W Broadway St, Suite 103, Campbellsville, KY 42718-2281 |
| Mark A Risen | Podiatry | 1003 Old Greensburg Rd, Campbellsville, KY 42718-2571 | |
| Find all physicians in zip 42718 | |||
| City | CAMPBELLSVILLE |
| Zip Code | 42718 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CAMPBELLSVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Stephanie Whitlock.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.