Bluegrass Surgical Assisting, PLLC

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

SA039 Issued in KY

Legal business name

BLUEGRASS SURGICAL ASSISTING, PLLC

Practice address

220 Tazwell Dr
Richmond, KY 40475-8940

Phone

(859) 619-0240

NPI assigned

Nov 14, 2013

Organization subpart

No

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

Authorized official

Name

Mr. William R Voll, CSA

Title

Certified Surgical Assistant

Phone

(859) 619-0240

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1821428665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 TAZWELL DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758940",
            "telephone_number": "859-619-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 TAZWELL DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758940",
            "telephone_number": "859-619-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS SURGICAL ASSISTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "VOLL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CERTIFIED SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "859-619-0240",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "KY",
            "license": "SA039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bluegrass Long Term Care
• Bluegrass Medical & Public Transportation
• Bluegrass Pediatric Dentistry
• Bluegrass Pediatric Therapies, LLC
• Bluegrass Peds Dre LLC
• Richard A Blum, MD
• Boardman Family Chiropractic PSC (Core Health Centers of Richmond)
• Leanne Bober
• Kathryn Thor Boggs, PH.D.
• Nicholas Patrick Boland, DPT

• Surgical Assistant in Richmond, KY
• Providers in Richmond, KY by specialty
• Surgical Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.