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BLUEGRASS SPINE CARE PSC NPI 1982755682


NPI Information

NPI: 1982755682
Provider Name: BLUEGRASS SPINE CARE, PSC
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

Address:
1741 MIDLAND TRL
SHELBYVILLE, KY
ZIP 40065
Phone: (502) 633-0192
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BLUEGRASS SPINE CARE, PSC is an orthopaedic surgery of the spine orthopaedic surgery in Shelbyville, KY. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. BLUEGRASS SPINE CARE, PSC NPI is 1982755682. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1741 MIDLAND TRL
SHELBYVILLE, KY
ZIP 40065-711
Phone: (502) 633-0192
Fax: (502) 633-4164

The provider's authorized official is Mark A Myers .
The authorized official title is Owner and has the following contact phone number (502) 633-0192.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 9/26/2018.


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
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine32619KENTUCKYYes

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
15344332OTHERKENTUCKYAETNA
21063266OTHERKENTUCKYPASSPORT
32434349000OTHERKENTUCKYPASSPORT ADVANTAGE
465930299MEDICAIDKENTUCKY
55134693001OTHERKENTUCKYCIGNA
6122601OTHERKENTUCKYCHA
7000802487OTHERKENTUCKYHUMANA

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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