BLUEGRASS PRIMARY CARE & PEDIATRICS, PLLC (NPI# 1306137336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306137336 |
| Entity Type | Organization |
| Organization Name | BLUEGRASS PRIMARY CARE & PEDIATRICS, PLLC |
| Practice Address |
803 Meyers Baker Rd Suite 150 London KY 40741-3039 |
| Practice Telephone | 6068784302 |
| Practice Fax Number | 6068783245 |
| Mailing Telephone | 6068784302 |
| Mailing Fax Number | 6068783245 |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2011-04-25 |
| Authorized Official Name | DR. THOMAS MECHAS (OWNER) |
| Authorized Official Telephone | 6068784302 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
803 MEYERS BAKER RD SUITE 150 |
| City | LONDON |
| State | KY |
| Zip Code | 40741-3039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467437293 | Melissa Llenay Zook | Family Medicine | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2005-12-14 |
| 1184234775 | Christopher Lee White | Physician Assistant | 803 Meyers Baker Rd, London, KY 40741-3039 | 2020-08-07 |
| 1194277129 | Kacey Bolton | Nurse Practitioner | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2016-10-25 |
| 1235596479 | Bethany D Ledford | Nurse Practitioner | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2016-01-19 |
| 1760876122 | Shana Sandifer | Nurse Practitioner | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2015-03-24 |
| 1285993204 | Laura B. Walters | Physician Assistant | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2012-05-11 |
| 1457660102 | Michelle Collins Boothe | Physician Assistant | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2010-09-29 |
| 1922241512 | Aishawarya Sarkar | Obstetrics & Gynecology | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2009-04-12 |
| 1164676144 | Dorothy Suzanne Mcgehee | Obstetrics & Gynecology | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2008-11-04 |
| 1285897801 | Krista Devoe Preston | Obstetrics & Gynecology | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2008-07-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841244 | Emily Anne Simmons | Pharmacist | 1851 West Hwy 192, London, KY 40741 | 2020-11-06 |
| 1871104364 | Jarrod Lee Napier | Optometrist | 103 Chera Lyn Ln, London, KY 40741 | 2020-08-10 |
| 1295378792 | Rebekah Virginia Elaine Cloud | Nurse Practitioner | 1649 Ky- 192 W, London, KY 40741 | 2019-10-28 |
| 1215416581 | Mary Jean Nolan | Nurse Practitioner | 1649 W. Hwy 192, London, KY 40741 | 2018-08-08 |
| 1558849620 | Pinnacle Treatment Centers Ky-1, LLC | Substance Abuse Rehabilitation Facility | 312 Carrera Drive, London, KY 40741 | 2018-08-01 |
| 1710463435 | Pinnacle Treatment Centers Ky-i, LLC | Substance Abuse Rehabilitation Facility | 300 Carrera Drive, London, KY 40741 | 2018-07-16 |
| 1720591076 | Hillary Clark | Nurse Practitioner | 192 London Shopping Ctr Ste 2, London, KY 40741 | 2017-11-08 |
| 1760901979 | Ariel Siler | Counselor | 454 N. Mcwhorter St., Suite 1, London, KY 40741 | 2017-09-19 |
| 1598287161 | Young Smiles,llc | Clinic/Center | 324 Holly Lane, London, KY 40741 | 2017-07-14 |
| 1952727505 | Renew Recovery, LLC | Substance Abuse Rehabilitation Facility | 2645 N Laurel Rd Ste B, London, KY 40741 | 2014-03-06 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548896335 | Keisha Shae Perkins | Family Medicine | 80 Oakwood Dr, London, KY 40744-5412 | 2020-03-12 |
| 1346870458 | Jessica Bennett | Family Medicine | 8946 Mcwhorter Rd, London, KY 40741-8721 | 2020-01-17 |
| 1831757368 | Amanda Radford | Family Medicine | 2694 Philpot Rd, London, KY 40744-9458 | 2019-05-30 |
| 1609393578 | Anna Michelle Jones | Family Medicine | 432 Scarlet Oak Dr, London, KY 40741-8298 | 2017-08-23 |
| 1881125680 | Abby Huck | Family Medicine | 1072 Eagleton Plz Ste A, London, OH 43140-9195 | 2017-03-23 |
| 1831562628 | Elliot L Neufeld | Family Medicine | 1851 St Rt 56, London, OH 43140-0740 | 2015-11-03 |
| 1902131550 | Suresh Panjwani | Family Medicine | Forest Primary Care Centre, 308 A Heartford Road, London, GB N97HD | 2009-10-14 |
| 1922262534 | Paul Ray Smith | Family Medicine | 505 E 9th St, London, KY 40741-1207 | 2008-07-12 |
| 1770764086 | David Brock Do LLC | Family Medicine | 99 W 2nd St, London, OH 43140-1072 | 2007-11-15 |
| 1760697676 | Katherine Elaine Binns | Family Medicine | 1072 Eagleton Blvd, Suite A, London, OH 43140-9195 | 2007-05-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.