NPIMap

Organization Active NPI

Michael T Sewell MD PSC

Doing business as Bluestar Orthopedics

  • Legal Medicine
  • Bardstown, KY
National Provider Identifier
1760544175
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
20940 Issued in KY
Legal business name
MICHAEL T SEWELL MD PSC
Doing business as
Bluestar Orthopedics
Practice address
875 Pennsylvania Ave
Bardstown, KY 40004-2529
Phone
(502) 348-5685
Fax
(502) 348-1771
NPI assigned
Dec 14, 2006
Last updated
Apr 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Dr. Michael Thomas Sewell, MDNPI 1902903016
Title
President
Phone
(502) 348-5685

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X 20940 KY Primary

Addresses

Primary practice location

875 Pennsylvania Ave
Bardstown, KY 40004-2529

Mailing address

875 Pennsylvania Ave
Bardstown, KY 40004-2529
Phone (502) 348-5685

Other identifiers 1

IdentifierTypeStateIssuer
64209406MedicaidKY

Other names 1

  • BLUESTAR ORTHOPEDICS Doing business as

National Provider Directory

National Provider Directory

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1760544175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 PENNSYLVANIA AVE",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042529",
            "telephone_number": "502-348-5685",
            "fax_number": "502-348-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 PENNSYLVANIA AVE",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042529",
            "telephone_number": "502-348-5685",
            "fax_number": "502-348-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL T SEWELL MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "SEWELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-348-5685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "KY",
            "license": "20940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64209406",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLUESTAR ORTHOPEDICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bardstown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.