Bluegrass Medical Group PSC
Organization Active NPI Family Medicine Physician · Lexington, KY
NPI 1164518130 · NPPES record last updated Dec 18, 2014
Key facts
- NPI
- 1164518130
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- BLUEGRASS MEDICAL GROUP PSC
- Practice address
- 1451 Harrodsburg Rd
Suite D 502
Lexington, KY 40504-3758 - Phone
- (859) 277-8560
- Fax
- (859) 277-8866
- NPI assigned
- Oct 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Dana Rae Barry
- Title
- Practice Manager
- Phone
- (859) 277-8560
Practitioners 4
-
Amita Kumar, MD
National Provider Directory
Locations
1451 Harrodsburg Rd
Ste D502
Lexington, KY 40504
Phone (859) 277-8560
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 25337 | KY | |
| Specialist |
174400000X | 26673 | KY | |
| Family Medicine Physician |
207Q00000X | 41917 | KY | |
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X | |||
| Nurse Practitioner |
363L00000X | |||
| Family Nurse Practitioner |
363LF0000X | |||
| Family Health Clinical Nurse Specialist |
364SF0001X | 3005655 | KY |
Addresses
Primary practice location
1451 Harrodsburg Rd
Suite D 502
Lexington, KY 40504-3758
Mailing address
1451 Harrodsburg Rd
Suite D 502
Lexington, KY 40504-3758
Phone (859) 277-8560
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000055841 | Other | KY | ANTHEM |
| 64253370 | Medicaid | KY | |
| 65905234 | Medicaid | KY |
Other providers in Lexington, KY
- Bluegrass Inpatient Group PLLC
- Bluegrass Integrative Health LLC
- Bluegrass Internal Medicine and Nephrology
- Bluegrass Internal Medicine Group
- Bluegrass Medical Associates PSC
- Bluegrass Mental Health and Mental Retardation Board
- Bluegrass Mobile Medical Services,LLC
- Bluegrass Newborn Specialists, PLC
- Bluegrass Newborn Specialists, PLC
- Bluegrass Nutrition Counseling
All providers in Lexington, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.