Bluegrass Spine Care, PSC
Organization Active NPI Orthopaedic Surgery of the Spine Physician · Shelbyville, KY
NPI 1982755682 · NPPES record last updated Sep 26, 2018
Key facts
- NPI
- 1982755682
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery of the Spine Physician 207XS0117X
- License
- 32619 (KY)
- Legal business name
- BLUEGRASS SPINE CARE, PSC
- Practice address
- 1741 Midland TRL
Shelbyville, KY 40065-1711 - Phone
- (502) 633-0192
- Fax
- (502) 633-4164
- NPI assigned
- Jan 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Mark A Myers, MD
- Title
- Owner
- Phone
- (502) 633-0192
National Provider Directory
Locations
1023 New Moody Ln
Ste 202
Lagrange, KY 40031
Phone (502) 222-3452
1725 Harrodsburg Rd
#J
Lexington, KY 40504
Phone (859) 278-7226
709 Mount Eden Rd
Ste 2
Shelbyville, KY 40065
Phone (502) 633-0192
18 Village Plz
Shelbyville, KY 40065
Phone (859) 227-4835
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician |
207XS0117X | 32619 | KY | Yes |
Addresses
Primary practice location
1741 Midland TRL
Shelbyville, KY 40065-1711
Mailing address
1741 Midland TRL
Shelbyville, KY 40065-1711
Phone (502) 633-0192
Other practice location 1
279 Kings Daughters Dr Ste 203
Frankfort, KY 40601-6562
Phone (502) 633-0192
Other practice location 2
1023 New Moody Ln Ste 202
LA Grange, KY 40031-9180
Phone (502) 633-0192
Other practice location 3
327 N Main St
Owenton, KY 40359-1409
Phone (502) 633-0192
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063266 | Other | KY | PASSPORT |
| 000802487 | Other | KY | HUMANA |
| 122601 | Other | KY | CHA |
| 2434349000 | Other | KY | PASSPORT ADVANTAGE |
| 5344332 | Other | KY | AETNA |
| 65930299 | Medicaid | KY | |
| 5134693001 | Other | KY | CIGNA |
Other providers in Shelbyville, KY
- Hannah Elizabeth Blaine
- Emily Ann Blake
- Robin Blankenship
- Michelle Blinder
- Bluegrass Osteoporosis Center, PLLC
- Sara Boiman
- Holley Jo Bolin
- Lisa Ann Bora
- Tatiana Danielle Borzotra
- Allison Leigh Bostedo
All providers in Shelbyville, KY · Orthopaedic Surgery of the Spine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.