ST. ELIZABETH MEDICAL CENTER INC. NPI 1588620868

NPI Information

  • NPI: 1588620868
  • Provider Name: ST. ELIZABETH MEDICAL CENTER, INC.
  • Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
  • Entity Type: Organization
  • Doing Business As: ST. ELIZABETH CARDIAC SURGEONS
  • Address: 711 MEDICAL VILLAGE DR
    EDGEWOOD, KY
    ZIP 41017
  • Phone: (859) 301-9010

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NPI Details

ST. ELIZABETH MEDICAL CENTER, INC. is a thoracic surgery cardiothoracic vascular surgery in Edgewood, KY. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. ST. ELIZABETH MEDICAL CENTER, INC. NPI is 1588620868. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St. Elizabeth Cardiac Surgeons.

The provider's business location address is:

711 MEDICAL VILLAGE DR
EDGEWOOD, KY
ZIP 41017-439
Phone: (859) 301-9010
Fax: (859) 301-9018

The provider's authorized official is Lori Ritchey-baldwin .
The authorized official title is Senior Vp Of Finance / Cfo and has the following contact phone number (859) 655-1642.

The enumeration date for this NPI number is 4/25/2006 and was last updated on 3/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantKENTUCKYNo
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo
4208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
165946097MEDICAIDKENTUCKY
2200288340MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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