Paul C Pedersen General Practice
4071 Tates Creek Centre Dr, Suite 202, Lexington, KY 40517-3094


Paul C Pedersen is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1003892720. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 6406835560. The medical credential is MD. The primary specialty is GENERAL PRACTICE. The organization is BAPTIST HEALTH MEDICAL GROUP INC. The address is 4071 Tates Creek Centre Dr, Suite 202, Lexington, KY 40517-3094. The zip code is 40517.


Paul C Pedersen · 4071 Tates Creek Centre Dr, Suite 202, Lexington, KY 40517-3094

Nation Provider ID 1003892720
PAC ID by PECOS 6406835560
Professional Enrollment ID I20040809000698
Last Name PEDERSEN
First Name PAUL
Middle Name C
Gender M
Credential MD
Medical School Name OTHER
Graduation Year 1992
Primary Specialty GENERAL PRACTICE
Primary Specialty BAPTIST HEALTH MEDICAL GROUP INC
Phone Number 8592604390
Group Practice PAC ID 5597867184
Number of Group Practice Members 1239
Address 4071 TATES CREEK CENTRE DR
SUITE 202
LEXINGTON, KY 405173094
Claims Based Hospital Affiliation Claim Control Number (CCN): 180080
Legal Business Name: BAPTIST HEALTH CORBIN
Claims Based Hospital Affiliation Claim Control Number (CCN): 181328
Legal Business Name: BARBOURVILLE ARH HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 180011
Legal Business Name: SAINT JOSEPH LONDON
Claims Based Hospital Affiliation Claim Control Number (CCN): 180021
Legal Business Name: PINEVILLE COMMUNITY HOSPITAL
Professional accepts Medicare Assignment Y
Report Quality Measures Y

subpremise: 202
street_number: 4071
route: Tates Creek Centre Drive (Tates Creek Centre Dr)
neighborhood, political: Belleau Woods
locality, political: Lexington
admin_level_2, political: Fayette County
admin_level_1, political: Kentucky (KY)
country, political: United States (US)
postal_code: 40517
types : subpremise
latitude: 37.9737204
longitude: -84.4996424
latlng: (37.9737204, -84.4996424)


Baptist Health Medical Group Inc · Medicare Physician

Name Address Specialty
Kelsey Snavely 3900 Kresge Way, Louisville, KY 40207-4683 CLINICAL SOCIAL WORKER
Wanda Harrison 2040 Harrodsburg Rd, Lexington, KY 40503-1703 FAMILY PRACTICE
Aaron Schnell 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 HOSPITALIST
George Shee 2600 Stanley Gault Pkwy, Louisville, KY 40223-5129 INTERNAL MEDICINE
Virginia Apro 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 PHYSICIAN ASSISTANT
Janet Scherzer 3900 Kresge Way, Louisville, KY 40207-4683 PHYSICIAN ASSISTANT
Kira Haydon 3900 Kresge Way, Louisville, KY 40207-4683 FAMILY PRACTICE
Edgar Morgan 201 Meridian Ave, Louisville, KY 40207-3850 FAMILY PRACTICE
Jealena Reesor 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 NURSE PRACTITIONER
Cheryl Thurman 3900 Kresge Way, Louisville, KY 40207-4683 NURSE PRACTITIONER
Olivia Price 3900 Kresge Way, Louisville, KY 40207-4683 PHYSICIAN ASSISTANT
Tracy Bratton 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 HOSPITALIST
William Ankobiah 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 INTERNAL MEDICINE
Carson Teague 2603 Kentucky Ave, Paducah, KY 42003-3829 NURSE PRACTITIONER
Mackenzie Guizio Crockett 2603 Kentucky Ave, Paducah, KY 42003-3829 CERTIFIED REGISTERED NURSE ANESTHETIST
Douglas Milligan 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 OBSTETRICS/GYNECOLOGY
Charles Shaw 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 FAMILY PRACTICE
Roshan Pais 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 HOSPITALIST
Brian Beauerle 3950 Kresge Way, Louisville, KY 40207-4637 GASTROENTEROLOGY
Sherene El-sioufi 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 PULMONARY DISEASE

Zip 40517 · Medicare Physician

Name Address Specialty
Irida Molla 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 INTERNAL MEDICINE
Tullio Emanuele 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Vicki Hisle 4071 Tates Creek Centre Dr, Lexington, KY 40517-3094 NURSE PRACTITIONER
Rebecca Lanham 4101 Tates Creek Centre Dr, Lexington, KY 40517-3068 OPTOMETRY
Ila Patel 3175 Custer Dr, Lexington, KY 40517-4023 PSYCHIATRY
Arthur Yin 4071 Tates Creek Centre Dr, Lexington, KY 40517-3094 INTERNAL MEDICINE
Semus Obroin 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 OBSTETRICS/GYNECOLOGY
Marc Russell 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 HOSPITALIST
Cristina Cosoreanu 4071 Tates Creek Centre Dr, Lexington, KY 40517-3094 PHYSICIAN ASSISTANT
Bennicia Davis 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 PHYSICIAN ASSISTANT
Kara Hagan 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 PHYSICIAN ASSISTANT
Anne Parrish 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 PHYSICIAN ASSISTANT
John Windsor 4071 Tates Creek Centre Dr, Lexington, KY 40517-3094 INTERVENTIONAL CARDIOLOGY
Kent Kessler 4071 Tates Creek Centre Dr, Lexington, KY 40517-3094 GENERAL SURGERY
Edward Evensen 3150 Custer Dr, Lexington, KY 40517-4010 CLINICAL PSYCHOLOGIST
Arvinda Padmanabhan 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 MEDICAL ONCOLOGY
Jai Gilliam 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 INTERNAL MEDICINE
Alexander Tikhtman 4071 Tates Creek Centre Dr, Lexington, KY 40517-3094 NEUROLOGY
Paritosh Suman 4071 Tates Creek Centre Dr, Lexington, KY 40517-3094 GENERAL SURGERY
Gilman Peterson 620 Perimeter Dr, Lexington, KY 40517-4125 ORAL SURGERY