Organization Active NPI

Bluegrass Obstetrics & Gynecology

  • Obstetrics & Gynecology Physician
  • Georgetown, KY
National Provider Identifier
1114054269
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
BLUEGRASS OBSTETRICS & GYNECOLOGY
Practice address
1140 Lexington Rd
Suite 205
Georgetown, KY 40324-9330
Phone
(502) 570-9396
Fax
(502) 570-9336
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Charles R Hill, MD
Title
Owner
Phone
(502) 570-9396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1140 Lexington Rd
Suite 205
Georgetown, KY 40324-9330

Mailing address

1140 Lexington Rd
Suite 205
Georgetown, KY 40324-9330
Phone (502) 570-9396

Other identifiers 1

IdentifierTypeStateIssuer
65933053MedicaidKY

National Provider Directory

National Provider Directory

Locations

1140 Lexington Rd
Ste 205
Georgetown, KY 40324
Phone (502) 570-9396

1140 Lexington Rd
#205
Georgetown, KY 40324
Phone (502) 570-9396

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114054269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 LEXINGTON RD",
            "address_2": "SUITE 205",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249330",
            "telephone_number": "502-570-9396",
            "fax_number": "502-570-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 LEXINGTON RD",
            "address_2": "SUITE 205",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249330",
            "telephone_number": "502-570-9396",
            "fax_number": "502-570-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS OBSTETRICS & GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-570-9396",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65933053",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.