Organization Active NPI

Bluegrass Foot and Ankle Care PLLC

  • Durable Medical Equipment & Medical Supplies
  • Richmond, KY
National Provider Identifier
1720364268
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
00274 Issued in KY
Legal business name
BLUEGRASS FOOT AND ANKLE CARE PLLC
Practice address
326 Highland Park Dr
Richmond, KY 40475-3487
Phone
(859) 623-3550
Fax
(859) 623-3393
NPI assigned
Oct 28, 2011
Last updated
Sep 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Authorized official

Name
Randall W Hall, DPMNPI 1215935671
Title
Member
Phone
(859) 623-3550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 00274 KY Primary

Addresses

Primary practice location

326 Highland Park Dr
Richmond, KY 40475-3487

Mailing address

326 Highland Park Dr
Richmond, KY 40475-3487
Phone (859) 623-3550

Other practice location 1

326 Highland Park Dr
Richmond, KY 40475-3487
Phone (859) 623-3550

National Provider Directory

National Provider Directory

Locations

305 Estill St
Ste B
Berea, KY 40403
Phone (859) 623-3550

322 Highland Park Dr
Richmond, KY 40475
Phone (859) 623-3550

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1720364268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 HIGHLAND PARK DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753487",
            "telephone_number": "859-623-3550",
            "fax_number": "859-623-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 HIGHLAND PARK DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753487",
            "telephone_number": "859-623-3550",
            "fax_number": "859-623-3393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "326 Highland Park Dr",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404753487",
            "country_code": "US",
            "telephone_number": "859-623-3550",
            "fax_number": "859-623-3393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUEGRASS FOOT AND ANKLE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-28",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "859-623-3550",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "00274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.