BLUEGRASS ORTHOPAEDIC GROUP PSC NPI 1043414873

NPI Details

BLUEGRASS ORTHOPAEDIC GROUP PSC is a neuromusculoskeletal medicine sports medicine in Louisville, KY. The provider is a Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/ BLUEGRASS ORTHOPAEDIC GROUP PSC NPI is 1043414873. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3920 DUTCHMANS LN
SUITE 314
LOUISVILLE, KY
ZIP 40207-702
Phone: (502) 895-1489
Fax: (502) 895-1261

The provider's authorized official is Eugene E Jacob .
The authorized official title is President and has the following contact phone number (502) 895-1489.

The enumeration date for this NPI number is 6/14/2007 and was last updated on 8/22/2020.

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: