Bluegrass Emergency Medicine
Organization Active NPI Emergency Medicine Physician · Paducah, KY
NPI 1376592998 · NPPES record last updated May 9, 2008
Key facts
- NPI
- 1376592998
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- BLUEGRASS EMERGENCY MEDICINE
- Practice address
- 2501 Kentucky Ave
Paducah, KY 42003-3813 - Phone
- (270) 575-2180
- NPI assigned
- May 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Fred S Mushkat, MD
- Title
- Medical Director
- Phone
- (270) 575-2180
Practitioners 1
-
Fred S Mushkat, MD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
2501 Kentucky Ave
Paducah, KY 42003-3813
Mailing address
PO Box 9150
Paducah, KY 42002-9150
Phone (270) 744-9600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000328885 | Other | KY | BLUE CROSS |
| 65941163 | Medicaid | KY |
Other providers in Paducah, KY
- Cynthia Marie Blanton
- Francis J Block III
- Bloom Behavior Therapy LLC
- Phillip Blotevogel
- Bluegrass Dermatology, PLLC
- Bluegrass Gastroenterology, PSC
- Bluegrass Health Solutions, LLC
- Bluegrass Medical Equipment, LLC.
- Bluegrass Pediatrics, LLC
- Kenny L Boaz
All providers in Paducah, KY · Emergency 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 May 9, 2008. 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.