Bluegrass Neurological Services, PSC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

38102 Issued in KY

Legal business name

BLUEGRASS NEUROLOGICAL SERVICES, PSC

Practice address

321 S 3Rd St
Suite a
Danville, KY 40422-2001

Phone

(859) 936-0094

Fax

(859) 936-0095

NPI assigned

Sep 15, 2006

Last updated

Aug 27, 2009By 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

Thomas W Johnson Jr., M.D.NPI 1154396521

Title

Owner

Phone

(317) 567-2180

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• Thomas Wesley Johnson, M.D.

  • Neurology Physician
  • Louisville, KY
  • NPI 1154396521
  NPD (past) Authorized official
• Deepa E. Nidhiry, M.D.

  • Neurology Physician
  • Danville, KY
  • NPI 1932305778
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1356447866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9899 E 126TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382821",
            "telephone_number": "317-567-2179",
            "fax_number": "317-567-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 S 3RD ST",
            "address_2": "SUITE A",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222001",
            "telephone_number": "859-936-0094",
            "fax_number": "859-936-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS NEUROLOGICAL SERVICES, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-567-2180",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "38102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200378110",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64069156",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peggy Kessler Bland, MRS
• Bluegrass Brace Shop, LLC
• Bluegrass Chiro
• Bluegrass Drug Store PLLC (Bluegrass Drug Store)
• Bluegrass Hearing Clinic, LLC
• Bluegrass Psychiatry, Inc.
• Amy Jane Bogardus, D.M.D.
• Christopher Lee Bostick, D.M.D.
• Michael Bowdy, ATC
• Boyd Family Dentistry PLLC

• Neurology Physician in Danville, KY
• Providers in Danville, KY by specialty
• Neurology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.