Bluegrass Ear Nose & Throat Clinic

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

BLUEGRASS EAR NOSE & THROAT CLINIC

Practice address

205 Floyd Clay Dr
Suite 3
Winchester, KY 40391-1156

Phone

(859) 745-1010

Fax

(859) 745-0080

NPI assigned

Aug 9, 2006

Last updated

May 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ara Samuel Makdessian, MDNPI 1598752248

Title

Owner

Phone

(859) 745-1010

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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.

• Ara S. Makdessian, M.D.

  • Otolaryngology Physician
  • Winchester, KY
  • NPI 1598752248
  Authorized official Same address or phone
• Wanda Joy Martin, MS

  • Audiologist
  • Lexington, KY
  • NPI 1881787398
  NPD
• Douglas J Spear, MA CCC A

  • Audiologist
  • Louisville, KY
  • NPI 1649257817
  NPD

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1225048416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 FLOYD CLAY DR",
            "address_2": "SUITE 3",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911156",
            "telephone_number": "859-745-1010",
            "fax_number": "859-745-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 FLOYD CLAY DR",
            "address_2": "SUITE 3",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911156",
            "telephone_number": "859-745-1010",
            "fax_number": "859-745-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS EAR NOSE & THROAT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "MAKDESSIAN",
        "authorized_official_first_name": "ARA",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-745-1010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Reinbold Blackledge, PH.D., BCBA-D
• Amy Lee Blair, OTR
• Jeffrey D Bliffen, LSW, MA
• Kaley Bloyd, DMD
• Bluegras Dental Dre PLLC
• Bluegrass Hearing Institute, PSC
• Bluegrass Pathology Associates PSC
• Bluegrass Primary Health Care Center, Inc.
• Bluegrass Primary Health Care Center, Inc. (Bluegrass Community Health Center-George Rogers Clark HighSchoolClinic)
• Bluegrass Primary Health Care Center, Inc. (Bluegrass Community Health Center-Mobile Van)

• Otolaryngology Physician in Winchester, KY
• Providers in Winchester, KY by specialty
• Otolaryngology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.