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NPI Code Detail

MEDICARE: BAPTIST HEALTH MEDICAL GROUP

MEDICARE: BAPTIST HEALTH MEDICAL GROUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant
2235Z00000XSpeech-Language Pathologist
3208100000XPhysical Medicine & Rehabilitation Physician
42083X0100XOccupational Medicine Physician
5261QX0100XOccupational Medicine Clinic/Center
6224Z00000XOccupational Therapy Assistant
7261QP2000XPhysical Therapy Clinic/Center
8225X00000XOccupational Therapist
9225100000XPhysical Therapist

General Provider Information

NPI Number : 1780543744
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAPTIST HEALTH MEDICAL GROUP
Provider Business Mailing Address
First Line : 1901 CAMPUS PL
Second Line :
City : LOUISVILLE
State : KY
Zip : 40299-2308
Country : US
Telephone Number : 502-253-4911
Fax Number :
Provider Business Practice Location Address
First Line : 11630 COMMONWEALTH DR STE 200
Second Line :
City : LOUISVILLE
State : KY
Zip : 40299-2300
Country : US
Telephone Number : 502-267-6292
Fax Number :
Authorized Official
Title or Position : VP REVENUE CYCLE
Name : MS. DANYEL D CLAY
Credential :
Telephone Number : 502-253-4911
Provider Enumeration Date : 01/16/2026
Last Update Date : 06/15/2026

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