Bluegrass Regional Cancer Center LLP

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

BLUEGRASS REGIONAL CANCER CENTER LLP

Practice address

4500 Churchman Ave
Suite 100
Louisville, KY 40215-1143

Phone

(502) 363-3100

Fax

(502) 363-1110

NPI assigned

Jan 20, 2006

Organization subpart

No

Name

Kim Commins

Title

Ceo

Phone

(239) 931-7275

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Benjamin Alt, M.D.

  • Specialist
  • Louisville, KY
  • NPI 1255490561
  NPD (past)
• Joseph M. Baisden, M.D.

  • Radiation Oncology Physician
  • Princeton, WV
  • NPI 1609816214
  NPD (past) RADIATION ONCOLOGY

• Louisville Radiation Oncology Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 12, 2019.

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562889600000",
    "number": "1497735948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071412",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 CHURCHMAN AVE",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151143",
            "telephone_number": "502-363-3100",
            "fax_number": "502-363-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS REGIONAL CANCER CENTER LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "last_updated": "2019-07-12",
        "status": "A",
        "authorized_official_last_name": "COMMINS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-931-7275"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65931693",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK9008",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisville Radiation Oncology Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Louisville Radiation Oncology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bluegrass Oxygen Inc
• Bluegrass Pain Consultants PLLC
• Bluegrass Pain Consultants PLLC
• Bluegrass Peer Supports
• Bluegrass Podiatric Management LLC
• Bluegrass Rehab and Mobility
• Bluegrass Rural Health PLLC
• Bluegrass Senior Care
• Bluegrass Sleep LLC
• Bluegrass Sports Medicine PLLC

• All providers in Louisville, KY
• Radiation Oncology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.