Active NPI
Bluegrass Medical Group PSC
- Family Medicine Physician
- Lexington, KY
National Provider Identifier
1164518130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
- Last updated
- Dec 18, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Dana Rae Barry
- Title
- Practice Manager
- Phone
- (859) 277-8560
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25337 | KY | |
| Specialist | 174400000X | 26673 | KY | |
| Family Medicine Physician | 207Q00000X | 41917 | KY | |
| Family Medicine Physician | 207Q00000X | Primary | ||
| 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
National Provider Directory
National Provider DirectoryLocations
1401 Harrodsburg Rd
Ste C305
Lexington, KY 40504
Phone (859) 278-8400
1451 Harrodsburg Rd
Ste D502
Lexington, KY 40504
Phone (859) 277-8560
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1730164146
-
- Family Medicine Physician
- Lexington, KY
- NPI 1922048503
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1700861218
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1992968481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418860800000",
"number": "1164518130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1451 HARRODSBURG RD",
"address_2": "SUITE D 502",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043758",
"telephone_number": "859-277-8560",
"fax_number": "859-277-8866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 HARRODSBURG RD",
"address_2": "SUITE D 502",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043758",
"telephone_number": "859-277-8560",
"fax_number": "859-277-8866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUEGRASS MEDICAL GROUP PSC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2014-12-18",
"status": "A",
"authorized_official_last_name": "BARRY",
"authorized_official_first_name": "DANA",
"authorized_official_middle_name": "RAE",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "859-277-8560",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "KY",
"license": "25337",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "KY",
"license": "26673",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "KY",
"license": "41917",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "364SF0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Family Health",
"state": "KY",
"license": "3005655",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.