BAPTIST HEALTH MEDICAL GROUP INC (NPI# 1912552258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912552258 |
| Entity Type | Organization |
| Organization Name | BAPTIST HEALTH MEDICAL GROUP INC |
| Other Organization Name | SHELBYVILLE PRIMARY CARE |
| Practice Address |
140 Stonecrest Rd Ste 101 Shelbyville KY 40065-8143 |
| Mailing Address |
5200 Commerce Crossings Dr Fl 3 Louisville KY 40229-2182 |
| Practice Telephone | 5029281060 |
| Practice Fax Number | 5029281061 |
| Mailing Telephone | 5022534911 |
| Mailing Fax Number | 5024895752 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2020-01-24 |
| Authorized Official Name | DANYEL D CLAY (EXECUTIVE DIRECTOR REVENUE CYCLE) |
| Authorized Official Telephone | 5022534911 |
| Is Organization Subpart | Y |
| Parent Organization Name | BAPTIST HEALTH MEDICAL GROUP INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Shelbyville Primary Care | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265072946 | Baptist Health Medical Group Inc | Clinic/Center | 800 Hospital Dr Fl 2, Madisonville, KY 42431-1658 | 2020-01-10 |
| 1578118816 | Baptist Health Medical Group Inc | Clinic/Center | 2601 Kentucky Ave Ste 103, Paducah, KY 42003-3817 | 2019-08-05 |
| 1720557747 | Baptist Health Medical Group Inc | Clinic/Center | 870 Taylorsville Rd, Taylorsville, KY 40071-0819 | 2018-11-20 |
| 1174091771 | Baptist Health Medical Group Inc | Clinic/Center | 313 Federal Dr Nw Ste 130, Corydon, IN 47112-3099 | 2018-11-13 |
| 1780961300 | Baptist Health Medical Group Inc | Physician Assistant | 5200 Commerce Crossings Dr Fl 3, Louisville, KY 40229-2182 | 2011-11-10 |
| 1558984633 | Baptist Health Medical Group Inc | Clinic/Center | 534 Hillcrest Dr, Brandenburg, KY 40108-1222 | 2020-05-22 |
| 1093338527 | Baptist Health Medical Group Inc | Psychiatry & Neurology | 2413 Ring Rd Ste 100, Elizabethtown, KY 42701-5924 | 2020-05-19 |
| 1104471440 | Baptist Health Medical Group Inc | Clinic/Center | 610 E Brannon Rd, Nicholasville, KY 40356-6066 | 2019-08-05 |
| 1831744176 | Baptist Health Medical Group Inc | Clinic/Center | 648 University Shopping Ctr, Richmond, KY 40475-2614 | 2019-08-05 |
| 1558916890 | Baptist Health Medical Group Inc | Clinic/Center | 793 Eastern Byp Ste 201, Richmond, KY 40475-2440 | 2019-08-05 |
| Street Address |
140 STONECREST RD STE 101 |
| City | SHELBYVILLE |
| State | KY |
| Zip Code | 40065-8143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811992969 | Meredith Lea Kehrer | Family Medicine | 140 Stonecrest Rd Ste 101, Shelbyville, KY 40065-8143 | 2005-06-16 |
| 1326560087 | Casey Mae Jensen | Nurse Practitioner | 140 Stonecrest Rd Ste 101, Shelbyville, KY 40065-8143 | 2017-07-13 |
| 1942401005 | Donna Lynn Betz | Family Medicine | 140 Stonecrest Rd Ste 101, Shelbyville, KY 40065-8143 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013348242 | Elisa Sykes-brees | Counselor | 250 Alpine Drive, Shelbyville, KY 40065 | 2013-12-13 |
| 1073800512 | Mimi Y. R. Rayburn | Nurse Practitioner | 865 Old Taylorsville Rd, Shelbyville, KY 40065 | 2011-07-05 |
| 1124310677 | Amanda B Dassel | Pharmacist | 1605 Midland Trail, Shelbyville, KY 40065 | 2011-05-03 |
| 1639468812 | Tia M Alton | Pediatrics | 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 | 2011-03-29 |
| 1699073338 | Emily Ann Waits | Dietitian, Registered | 615 11th Street, Shelby County Health Dept., Shelbyville, KY 40065 | 2011-03-04 |
| 1124335401 | Kelli L. Fetter | Occupational Therapist | 1900 Midland Trail, Ste 1 & 2, Shelbyville, KY 40065 | 2010-09-08 |
| 1083939425 | Marilyn Louise Rhoads | Licensed Practical Nurse | 615 Washington Street, Mercy Clinic, Shelbyville, KY 40065 | 2010-03-29 |
| 1154525277 | Dorman Preschool Center | Early Intervention Provider Agency | 719 Burks Branch Road, Shelbyville, KY 40065 | 2007-06-13 |
| 1194946368 | Joanna Sames | Pharmacist | 16 Village Plaza, Shelbyville, KY 40065 | 2007-05-02 |
| 1033298922 | Robyn A Keeling | Dentist | 502 Mount Eden Rd, Shelbyville, KY 40065 | 2006-11-03 |
| Find all providers in zip 40065 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457860173 | Major Hospital | Clinic/Center | 2451 Intelliplex Dr Ste 230, Shelbyville, IN 46176-8581 | 2017-09-26 |
| 1548788458 | Shelbyville Hospital Company LLC | Clinic/Center | 1612 N Main St Ste A, Shelbyville, TN 37160-2392 | 2017-08-31 |
| 1750350922 | Hshs Good Shepherd Hospital, Inc | Clinic/Center | 200 S Cedar St, Shelbyville, IL 62565-1838 | 2006-03-17 |
| 1932708658 | Vanderbilt Bedford Hospital, LLC | Clinic/Center | 1612 N Main St Ste A, Shelbyville, TN 37160-2392 | 2020-10-23 |
| 1689273344 | Vanderbilt Bedford Hospital, LLC | Clinic/Center | 1401 Madison St, Shelbyville, TN 37160-3629 | 2020-10-22 |
| 1952900862 | Vanderbilt Bedford Hospital, LLC | Clinic/Center | 1612 N Main St Ste B, Shelbyville, TN 37160-2392 | 2020-10-21 |
| 1346895844 | Baptist Health Medical Group Inc | Clinic/Center | 101 Stonecrest Rd, Shelbyville, KY 40065-8169 | 2019-08-02 |
| 1811406531 | Major Hospital | Clinic/Center | 2451 Intelliplex Dr Ste 260, Shelbyville, IN 46176-8581 | 2017-09-26 |
| 1558870279 | Major Hospital | Clinic/Center | 2451 Intelliplex Dr Ste 240, Shelbyville, IN 46176-8581 | 2017-09-26 |
| 1144748039 | Shelbyville Hospital Company LLC | Clinic/Center | 1612 N Main St Ste B, Shelbyville, TN 37160-2392 | 2017-08-31 |
| Find all providers in SHELBYVILLE | ||||
| City | SHELBYVILLE |
| Zip Code | 40065 |
Please comment or provide details below to improve the information on BAPTIST HEALTH MEDICAL GROUP INC.
| 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.