Organization Active NPI

Bluegrass Wound Consultants

  • Family Medicine Physician
  • Louisville, KY
National Provider Identifier
1639977515
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BLUEGRASS WOUND CONSULTANTS
Practice address
222 E Witherspoon St Ste 105
Louisville, KY 40202-6304
Phone
(800) 741-3995
Fax
(855) 274-8529
NPI assigned
Mar 5, 2025
Last updated
Mar 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Mr. Jeremy Jarmon, RN
Title
Manager
Phone
(800) 741-3995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

222 E Witherspoon St Ste 105
Louisville, KY 40202-6304

Mailing address

222 E Witherspoon St Ste 105
Louisville, KY 40202-6304
Phone (800) 741-3995

National Provider Directory

National Provider Directory

Locations

222 E Witherspoon St
Ste 105
Louisville, KY 40202
Phone (800) 741-3995

NPI Registry JSON

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1639977515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E WITHERSPOON ST STE 105",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402026304",
            "telephone_number": "800-741-3995",
            "fax_number": "855-274-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E WITHERSPOON ST STE 105",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402026304",
            "telephone_number": "800-741-3995",
            "fax_number": "855-274-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS WOUND CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "JARMON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "800-741-3995",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.