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EMERALD THERAPY CENTER, LLC
NPI 1205657384
General Practice in Paducah, KY

Active since October 21, 2024
1640 MCCRACKEN BLVD STE 200, PADUCAH, KY 42001(270) 534-5128(270) 477-0007 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Emerald Therapy Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMERALD THERAPY CENTER, LLC (NPI 1205657384), doing business as Emerald Medical Group, is a healthcare organization registered as a general practice in Paducah, Kentucky and active in the NPI registry since October 2024. The organization maintains 5 additional practice locations and lists Shelly Beth Baer, Owner, as its authorized official.

NPPES Registry Identity

NPI1205657384
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEMERALD THERAPY CENTER, LLC
Location Address1640 MCCRACKEN BLVD STE 200Paducah, KY 42001-9562
Mailing Address1640 Mccracken Blvd Ste 200Paducah, KY 42001-9562 · (270) 534-5128 · Fax (270) 477-0007
Phone(270) 534-5128
Fax(270) 477-0007
Organization SubpartYesParent: Emerald Therapy Center Llc
Authorized OfficialShelly Beth BaerOwner · (270) 205-8895
Enumeration DateOctober 21, 2024
NPPES CertifiedOctober 18, 2024
✔ NPI 1205657384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1640 MCCRACKEN BLVD STE 200, Paducah, KY 42001
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Other Names 1

Doing Business AsEmerald Medical Group

Secondary Practice Locations 5

Location 11019 Paducah Rd Ste CMayfield, KY 42066-3616 · Phone (270) 534-5128 · Fax (270) 477-0007
Location 22327 New Holt RdPaducah, KY 42001-7404 · Phone (270) 534-5128 · Fax (270) 477-0007
Location 35050 Village Square Dr Ste BPaducah, KY 42001-7552 · Phone (270) 534-5128 · Fax (270) 477-0007
Location 42520 New Holt Rd Ste IPaducah, KY 42001-7547 · Phone (270) 588-3916
Location 5111 Poplar St Ste 104Murray, KY 42071-2577 · Phone (270) 534-5128 · Fax (270) 477-0007

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emerald Therapy Center, LLC's NPI number?

The NPI number for Emerald Therapy Center, LLC is 1205657384. It was assigned to this organization in the NPPES registry on October 21, 2024. The provider is doing business as Emerald Medical Group.

Where is Emerald Therapy Center, LLC located?

Emerald Therapy Center, LLC is located at 1640 Mccracken Blvd Ste 200, Paducah, KY 42001. The listed phone number is (270) 534-5128.

What is Emerald Therapy Center, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Emerald Therapy Center, LLC was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.