Paul C Pedersen General Practice
4071 Tates Creek Centre Dr, Suite 100, Lexington, KY 40517-3062


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 100, Lexington, KY 40517-3062. The zip code is 40517.


Paul C Pedersen · 4071 Tates Creek Centre Dr, Suite 100, Lexington, KY 40517-3062

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 8592733888
Group Practice PAC ID 5597867184
Number of Group Practice Members 1239
Address 4071 TATES CREEK CENTRE DR
SUITE 100
LEXINGTON, KY 405173062
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: 100
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
Amy Dennis 3900 Kresge Way, Louisville, KY 40207-4683 PHYSICAL THERAPY
Allison Spalding 3900 Kresge Way, Louisville, KY 40207-4683 NURSE PRACTITIONER
Nancy Breslin 1373 E State Rd, Madison, IN 47250-7328 NURSE PRACTITIONER
Matthew Young 2603 Kentucky Ave, Paducah, KY 42003-3815 UROLOGY
Sarah Landes 3950 Kresge Way, Louisville, KY 40207-4637 GASTROENTEROLOGY
Pamela Jump 1373 E State Rd, Madison, IN 47250-7328 NURSE PRACTITIONER
Charmaine Pfister 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 NURSE PRACTITIONER
Madhuri Vallabhuni 3900 Kresge Way, Louisville, KY 40207-4683 NEUROLOGY
Marilyn Vermeesch 4071 Tates Creek Centre Dr, Lexington, KY 40517-3094 INTERNAL MEDICINE
Cindy Atkins 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 FAMILY PRACTICE
Molly Hester 4071 Tates Creek Centre Dr, Lexington, KY 40517-3094 DIAGNOSTIC RADIOLOGY
Mohammed Imam 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 CARDIAC SURGERY
Chelcia Moody 300 Clinic Dr, Hopkinsville, KY 42240-4989 NURSE PRACTITIONER
Candace Embry 1373 E State Rd, Madison, IN 47250-7328 FAMILY PRACTICE
Shanda Riley 2210 Green Valley Rd, New Albany, IN 47150-4648 NURSE PRACTITIONER
William Conyer 2603 Kentucky Ave, Paducah, KY 42003-3829 FAMILY PRACTICE
Christopher Semder 1373 E State Rd, Madison, IN 47250-7328 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Timothy Mccullough 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 PHYSICIAN ASSISTANT
Jamie Miller 2603 Kentucky Ave, Paducah, KY 42003-3829 NURSE PRACTITIONER
Jamie Black 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 PHYSICIAN ASSISTANT

Zip 40517 · Medicare Physician

Name Address Specialty
Abby Pennington 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 PHYSICIAN ASSISTANT
James O'neill 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 OBSTETRICS/GYNECOLOGY
Kimberly Pruitt 4071 Tates Creek Centre Dr, Lexington, KY 40517-3094 NURSE PRACTITIONER
Gina D'costa 4071 Tates Creek Centre Dr, Lexington, KY 40517-3094 INTERNAL MEDICINE
John Gohmann 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 HEMATOLOGY/ONCOLOGY
Sandeep Duggal 4071 Tates Creek Centre Dr, Lexington, KY 40517-3094 CARDIAC ELECTROPHYSIOLOGY
Sibel Gullo 4071 Tates Creek Centre Dr, Lexington, KY 40517-3094 INTERNAL MEDICINE
Susan Adams 3167 Custer Dr, Lexington, KY 40517-4018 CHIROPRACTIC
Krista Moe 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 CLINICAL PSYCHOLOGIST
Mary Messner 3175 Custer Dr, Lexington, KY 40517-4023 CLINICAL SOCIAL WORKER
Craig Congleton 3175 Custer Dr, Lexington, KY 40517-4023 CLINICAL SOCIAL WORKER
Raymond Hackett 4071 Tates Creek Centre Dr, Lexington, KY 40517-3094 UROLOGY
Elvis Donaldson 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 GYNECOLOGICAL ONCOLOGY
Aretha Bowling-cecil 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 NURSE PRACTITIONER
Belinda Jones-larson 4071 Tates Creek Centre Dr, Lexington, KY 40517-3094 NURSE PRACTITIONER
Yuri Villaran 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 CRITICAL CARE (INTENSIVISTS)
Cynthia Sharp 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 NURSE PRACTITIONER
Paige Quintero 4071 Tates Creek Centre Dr, Lexington, KY 40517-3094 GENERAL SURGERY
Priti Patel 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 PSYCHIATRY
Rebecca Cole 4071 Tates Creek Centre Dr, Lexington, KY 40517-3062 NURSE PRACTITIONER