BAPTIST HEALTH MEDICAL GROUP INC
NPI 1699179895
Neurological Surgery in Paducah, KY

NPI Status: Active since October 17, 2014

Contact Information

2603 KENTUCKY AVE
SUITE 404
PADUCAH, KY
ZIP 42003
Phone: (270) 443-6472
Fax: (270) 442-1649

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  • Organization
  • Neurological Surgery
  • Accepts Insurance
  • CLIA Number: 18D2300156
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-04-2026

About BAPTIST HEALTH MEDICAL GROUP INC

This page provides the complete NPI Profile along with additional information for Baptist Health Medical Group Inc, a provider established in Paducah, Kentucky operating as a Neurological Surgery. The healthcare provider is registered in the NPI registry with number 1699179895 assigned on October 2014. The practitioner's primary taxonomy code is 207T00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Baptist Health Medical Group Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Danyel D Clay (Director Revenue Cycle Management)

NPI
1699179895
Provider Name
BAPTIST HEALTH MEDICAL GROUP INC
Entity Type
Organization
Location Address
2603 KENTUCKY AVE SUITE 404 PADUCAH, KY 42003
Location Phone
(270) 443-6472
Location Fax
(270) 442-1649
Mailing Address
2700 STANLEY GAULT PKWY STE 129 LOUISVILLE, KY 40223
Mailing Phone
(502) 253-4900
Mailing Fax
(270) 442-1649
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-17-2014
Last Update Date
01-22-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Neurological Surgery

Taxonomy Code
207T00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs + Adult Vision & Fitness - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DANYEL D CLAY

Authorized Official Title
DIRECTOR REVENUE CYCLE MANAGEMENT
Authorized Official Phone
(502) 253-4911

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D2300156
Facility Type
Physician Office
Certificate Effective Date
March 05, 2024
Certificate Expiration Date
March 04, 2026
Laboratory Director
DR. STEWART B. TOLAR
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Baptist Health Medical Group Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1699179895, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 85. The final step is to find the difference between that total and the next multiple of ten (90 - 85 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
9
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 1 → 2 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 8 + 9 + 2 + 7 + 1 + 8 + 8 + 1 + 8 + 24 = 85

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 85 is 90. The difference is the calculated check digit.

90 - 85 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1699179895.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Neurological Surgery
2603 KENTUCKY AVE, STE 404
PADUCAH, KY 42003
Urology
2603 KENTUCKY AVE, STE 102
PADUCAH, KY 42003
Obstetrics & Gynecology
2603 KENTUCKY AVE, SUITE 201
PADUCAH, KY 42003
Obstetrics & Gynecology
2603 KENTUCKY AVE, SUITE 201
PADUCAH, KY 42003
Psychiatry & Neurology (Neurology)
2603 KENTUCKY AVE, SUITE 402
PADUCAH, KY 42003
Urology
2603 KENTUCKY AVE, SUITE 102
PADUCAH, KY 42003
Obstetrics & Gynecology
2603 KENTUCKY AVE, SUITE 101
PADUCAH, KY 42003
Obstetrics & Gynecology
2603 KENTUCKY AVE, SUITE 302
PADUCAH, KY 42003
Obstetrics & Gynecology
2603 KENTUCKY AVE, SUITE 101
PADUCAH, KY 42003
Surgery
2603 KENTUCKY AVE, SUITE 103
PADUCAH, KY 42003
Physician Assistant
2603 KENTUCKY AVE, SUITE 303
PADUCAH, KY 42003
Physician Assistant
2603 KENTUCKY AVE, SUITE 303
PADUCAH, KY 42003
Internal Medicine (Hematology & Oncology)
2603 KENTUCKY AVE, SUITE 403
PADUCAH, KY 42003
Internal Medicine (Hematology & Oncology)
2603 KENTUCKY AVE, SUITE 403
PADUCAH, KY 42003
Obstetrics & Gynecology
2603 KENTUCKY AVE, STE 302
PADUCAH, KY 42003
Obstetrics & Gynecology (Gynecology)
2603 KENTUCKY AVE, SUITE 302
PADUCAH, KY 42003
Psychiatry & Neurology (Neurology)
2603 KENTUCKY AVE, SUITE 304
PADUCAH, KY 42003
Internal Medicine
2603 KENTUCKY AVE, SUITE 303
PADUCAH, KY 42003
Urology
2603 KENTUCKY AVE, STE 102
PADUCAH, KY 42003
Urology
2603 KENTUCKY AVE, STE 102
PADUCAH, KY 42003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699179895, enumerated as an "organization" on October 17, 2014.

The provider is located at 2603 KENTUCKY AVE SUITE 404 PADUCAH, KY 42003 and the phone number is (270) 443-6472.

Neurological Surgery with taxonomy code 207T00000X.

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.