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BLUEGRASS MEDICAL GROUP PSC NPI 1164518130


NPI Information

NPI: 1164518130
Provider Name: BLUEGRASS MEDICAL GROUP PSC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1451 HARRODSBURG RD
SUITE D 502
LEXINGTON, KY
ZIP 40504
Phone: (859) 277-8560
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BLUEGRASS MEDICAL GROUP PSC is a family medicine in Lexington, KY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BLUEGRASS MEDICAL GROUP PSC NPI is 1164518130. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1451 HARRODSBURG RD
SUITE D 502
LEXINGTON, KY
ZIP 40504-758
Phone: (859) 277-8560
Fax: (859) 277-8866

The provider's authorized official is Dana Rae Barry .
The authorized official title is Practice Manager and has the following contact phone number (859) 277-8560.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 12/18/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2174400000XSpecialist25337KENTUCKYNo
3174400000XSpecialist26673KENTUCKYNo
4363L00000XNurse PractitionerNo
5364SF0001XClinical Nurse SpecialistFamily Health3005655KENTUCKYNo
6207Q00000XFamily Medicine41917KENTUCKYNo
7363LF0000XNurse PractitionerFamilyNo
8207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H65571MEDICARE UPINKENTUCKY
2C78343MEDICARE UPINKENTUCKY
365905234MEDICAIDKENTUCKY
4000000055841OTHERKENTUCKYANTHEM
5E46545MEDICARE UPINKENTUCKY
66207MEDICARE PINKENTUCKY
764253370MEDICAIDKENTUCKY
8D55148MEDICARE UPIN

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: 4/28/2024

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