Bluegrass Medical Service, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

223278 Issued in KY

Legal business name

BLUEGRASS MEDICAL SERVICE, LLC

Practice address

6287 Taylorsville Rd BLDG 2
Fisherville, KY 40023-6443

Phone

(502) 253-9409

Fax

(502) 212-5131

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Paul E Pusey

Title

Vice President

Phone

(502) 500-9658

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1912044827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6287 TAYLORSVILLE RD BLDG 2",
            "city": "FISHERVILLE",
            "state": "KY",
            "postal_code": "400236443",
            "telephone_number": "502-253-9409",
            "fax_number": "502-212-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6287 TAYLORSVILLE RD BLDG 2",
            "city": "FISHERVILLE",
            "state": "KY",
            "postal_code": "400236443",
            "telephone_number": "502-253-9409",
            "fax_number": "502-212-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS MEDICAL SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "PUSEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "502-500-9658",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "223278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Lee Blanford, RN
• Aleksandra Iwona Connors, CRNA
• Heather Leigh Egan
• Elk Creek Animal Hospital
• Fisherville Dental PLLC
• Mollie Elizabeth Flowers, DNP, APRN, FNP-BC

• All providers in Fisherville, KY
• Durable Medical Equipment & Medical Supplies in Kentucky

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