MEDICARE: BAPTIST HEALTH MEDICAL GROUP, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207P00000X	Emergency Medicine Physician
2	207R00000X	Internal Medicine Physician
3	261QU0200X	Urgent Care Clinic/Center
4	363A00000X	Physician Assistant
5	363L00000X	Nurse Practitioner
6	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1811648827
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAPTIST HEALTH MEDICAL GROUP, INC.

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	:	3516 E 10TH ST
Second Line	:
City	:	JEFFERSONVILLE
State	:	IN
Zip	:	47130-9315
Country	:	US
Telephone Number	:	502-981-8970
Fax Number	:

Authorized Official
Title or Position	:	VP REVENUE CYCLE
Name	:	MRS. DANYEL D CLAY
Credential	:
Telephone Number	:	502-253-4911

Provider Enumeration Date	:	01/11/2022
Last Update Date	:	07/01/2025

Similar Medicare Providers

1245197888 — MR. PARKER SCOTT EDWARDS OD
Practice Location Address:

3550 E 10TH ST
JEFFERSONVILLE, IN
47130-9315

Practice Phone: 812-590-6810
Practice Fax:

1457959900 — KATIE ROCOVICH APRN
Practice Location Address:

3558 E 10TH ST
JEFFERSONVILLE, IN
47130-9315

Practice Phone: 812-562-4699
Practice Fax:

1255974481 — LOUISVILLE OPTOMETRIC CENTERS III, PSC
Practice Location Address:

3550 E 10TH ST
JEFFERSONVILLE, IN
47130-9315

Practice Phone: 812-590-6810
Practice Fax: 812-590-6762

1497431811 — KATRINA BLACK OD
Practice Location Address:

3550 E 10TH ST
JEFFERSONVILLE, IN
47130-9315

Practice Phone: 812-590-6810
Practice Fax:

1235967506 — STACI HANS RN
Practice Location Address:

3516 E 10TH ST
JEFFERSONVILLE, IN
47130-9315

Practice Phone: 812-542-4640
Practice Fax:

1740019736 — JENNY LIN THERIAULT
Practice Location Address:

3516 E 10TH ST
JEFFERSONVILLE, IN
47130-9315

Practice Phone: 812-704-3288
Practice Fax:

Directions to “BAPTIST HEALTH MEDICAL GROUP, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.