Organization Active NPI

Bluegrass Bariatric Surgical Associates, PLLC

  • Surgery Physician
  • Lexington, KY
National Provider Identifier
1902072291
Registry record updated Oct 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
30697 Issued in KY
Legal business name
BLUEGRASS BARIATRIC SURGICAL ASSOCIATES, PLLC
Practice address
2716 Old Rosebud Rd
Suite 350
Lexington, KY 40509-8559
Phone
(859) 543-1577
Fax
(859) 543-1637
NPI assigned
May 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2013

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

Authorized official

Name
Mr. Dean M Oschwald
Title
Ceo
Phone
(859) 543-1577

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 35422 KY
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 30697 KY Primary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 42220 KY
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

2716 Old Rosebud Rd
Suite 350
Lexington, KY 40509-8559

Mailing address

2716 Old Rosebud Rd
Suite 350
Lexington, KY 40509-8559
Phone (859) 543-1577

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382918400000",
    "number": "1902072291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 OLD ROSEBUD RD",
            "address_2": "SUITE 350",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405098559",
            "telephone_number": "859-543-1577",
            "fax_number": "859-543-1637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 OLD ROSEBUD RD",
            "address_2": "SUITE 350",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405098559",
            "telephone_number": "859-543-1577",
            "fax_number": "859-543-1637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS BARIATRIC SURGICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2013-10-28",
        "status": "A",
        "authorized_official_last_name": "OSCHWALD",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "859-543-1577",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "KY",
            "license": "35422",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "KY",
            "license": "30697",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "KY",
            "license": "42220",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.