Bluegrass Orthopedic Group PSC

Primary specialty

SpecialistTaxonomy code 174400000X

License

23227 Issued in KY

Legal business name

BLUEGRASS ORTHOPEDIC GROUP PSC

Practice address

1023 New Moody LN
Ste 102
La Grange, KY 40031-9177

Phone

(502) 222-0598

Fax

(502) 222-7446

NPI assigned

Jul 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Eugne Jacob, MD

Title

President

Phone

(502) 222-0598

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1023217197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 NEW MOODY LN",
            "address_2": "STE 102",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400319177",
            "telephone_number": "502-222-0598",
            "fax_number": "502-222-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 NEW MOODY LN",
            "address_2": "STE 102",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400319177",
            "telephone_number": "502-222-0598",
            "fax_number": "502-222-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS ORTHOPEDIC GROUP PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "EUGNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-222-0598",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "23227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancee L Berling, APRN
• Nikhil Y Bhatt, MD
• Amy Kennedy Bindner, M.D.
• Monica Echeverria Bingham, DMD, MS
• Bluegrass Mental Health Solutions LLC
• Bluegrass Womens Center PLLC
• Tiffany Bonkofsky
• Katie Elizabeth Botner
• Allison Fields Bowen, APRN
• Kathryn Bowles Nesmith, LCSW

• All providers in La Grange, KY
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.