BARDSTOWN PRIMARY CARE, PLLC (NPI# 1053305524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053305524 |
| Entity Type | Organization |
| Organization Name | BARDSTOWN PRIMARY CARE, PLLC |
| Other Organization Name | PHYSICIANS TO CHILDREN & ADOLESCENTS |
| Practice Address |
201 S 5th St Bardstown KY 40004-1142 |
| Practice Telephone | 5023487554 |
| Practice Fax Number | 5023376070 |
| Mailing Telephone | 5023500050 |
| Mailing Fax Number | 5023486505 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2019-10-29 |
| Authorized Official Name | MRS. MARY JO NALLEY (ADMINISTRATOR) |
| Authorized Official Telephone | 5023487554 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PHYSICIANS TO CHILDREN & ADOLESCENTS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639654809 | Bardstown Primary Care, Pllc | Clinic/Center | 102 W Depot St, Springfield, KY 40069-1159 | 2018-10-03 |
| Street Address |
201 S 5TH ST |
| City | BARDSTOWN |
| State | KY |
| Zip Code | 40004-1142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730186974 | Matthew Alan Stiles | Family Medicine | 201 S 5th St, Bardstown, KY 40004-1142 | 2005-07-01 |
| 1861835290 | Laura H Johnson | Nurse Practitioner | 201 S 5th St, Bardstown, KY 40004-1142 | 2013-04-16 |
| 1225395742 | Britta Zoeller Maciuba | Family Medicine | 201 S 5th St, Bardstown, KY 40004-1142 | 2012-04-20 |
| 1982925004 | Lindsay B Blackmon | Pediatrics | 201 S 5th St, Bardstown, KY 40004-1142 | 2010-06-14 |
| 1144554916 | Kali M Lewis | Nurse Practitioner | 201 S 5th St, Bardstown, KY 40004-1142 | 2009-09-28 |
| 1801032594 | Christal G Denton | Nurse Practitioner | 201 S 5th St, Bardstown, KY 40004-1142 | 2008-12-30 |
| 1891998050 | Holdaway Medical Services, LLC | Durable Medical Equipment & Medical Supplies | 201 S 5th St, Suite 10, Bardstown, KY 40004-1142 | 2007-06-06 |
| 1427199462 | Maria Ramos | Specialist | 201 S 5th St, Suite 9, Bardstown, KY 40004-1142 | 2007-02-11 |
| 1215948930 | Denise M Barnett | Dietitian, Registered | 201 S 5th St, Bardstown, KY 40004-1142 | 2006-08-10 |
| 1871527077 | Jonas Noel Hurley | Emergency Medicine | 201 S 5th St, Bardstown, KY 40004-1142 | 2006-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590880 | Flaget Healthcare, Inc | Clinic/Center | 4359 Shepherdsville Road, Ste 255, Bardstown, KY 40004 | 2020-08-28 |
| 1902421043 | Astra Recovery Centers, LLC | Substance Abuse Rehabilitation Facility | 202 Downs Lane, Bardstown, KY 40004 | 2020-06-15 |
| 1285296194 | Hardin Memorial Hospital | Pharmacy | 3615 E John Rowan Blvd, Bardstown, KY 40004 | 2019-07-01 |
| 1376024919 | Flaget Healthcare Inc | Clinic/Center | 110 N. Salem Drive, Bardstown, KY 40004 | 2018-08-22 |
| 1730697517 | Shannon Michelle Woods | Nurse Practitioner | 1095 Morton Ave, Bardstown, KY 40004 | 2018-01-16 |
| 1477922490 | Kristi Ballard | Counselor | 1000 E John Rowan Blvd Ste 107, Bardstown, KY 40004 | 2015-09-21 |
| 1659705309 | Patricia Hall | Speech-Language Pathologist | 310 South 6th Street, Bardstown, KY 40004 | 2013-08-29 |
| 1629314885 | Saint Joseph-anc Home Care Services, LLC | Hospice Care, Community Based | 711 Mcdowell Blvd, Bardstown, KY 40004 | 2012-12-17 |
| 1780920058 | Stars and Stripes Medical LLC | Durable Medical Equipment & Medical Supplies | 301 W. Stephen Foster Ave, Suite B., Bardstown, KY 40004 | 2012-12-14 |
| 1366790230 | Lynda Onyinyechi Uzonwune | Pharmacist | 202 West Stephen Foster Avenue, Bardstown, KY 40004 | 2012-08-26 |
| Find all providers in zip 40004 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590880 | Flaget Healthcare, Inc | Clinic/Center | 4359 Shepherdsville Road, Ste 255, Bardstown, KY 40004 | 2020-08-28 |
| 1376024919 | Flaget Healthcare Inc | Clinic/Center | 110 N. Salem Drive, Bardstown, KY 40004 | 2018-08-22 |
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|---|---|---|---|---|
| 1669072757 | Arh Mary Breckinridge Health Services, Inc. | Clinic/Center | 302 Walnut Street, Pineville, KY 40977 | 2020-10-28 |
| 1316553167 | Flaget Healthcare Inc | Clinic/Center | 2387 Main St, Willisburg, KY 40078-8102 | 2020-09-17 |
| 1649881335 | Emerald Therapy Center, LLC | Clinic/Center | 111 Poplar St, Murray, KY 42071-2571 | 2020-08-14 |
| 1407472319 | Family Health Care Associates 7 Limited Liability Company | Clinic/Center | 422 N Highway 27, Whitley City, KY 42653 | 2020-06-17 |
| 1154950699 | Family Health Care Associates 6 Limited Liability Company | Clinic/Center | 8070 Us Highway 60 W, Lewisport, KY 42351-7087 | 2020-04-06 |
| 1568098838 | Appalachian Regional Healthcare, Inc | Clinic/Center | 186 Breanna Blvd, Suite 100, Salyersville, KY 41465-7525 | 2020-03-19 |
| 1780217794 | Family Health Care Associates 5 Limited Liability Company | Clinic/Center | 74 H&b Partin Lane, Pineville, KY 40977 | 2020-02-18 |
| 1023649514 | Memorial Hospital Inc | Clinic/Center | 485 Memorial Dr Ste 1, Manchester, KY 40962-9111 | 2020-02-03 |
| 1265072946 | Baptist Health Medical Group Inc | Clinic/Center | 800 Hospital Dr Fl 2, Madisonville, KY 42431-1658 | 2020-01-10 |
| 1700425675 | Taylor and Clifton Family Healthcare | Clinic/Center | 14 Moonbow Plz Ste 2, Corbin, KY 40701-8910 | 2019-12-24 |
| 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.