BLUEGRASS PEDIATRICS AND INTERNAL MEDICINE, PLLC (NPI# 1427229707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427229707 |
| Entity Type | Organization |
| Organization Name | BLUEGRASS PEDIATRICS AND INTERNAL MEDICINE, PLLC |
| Practice Address |
196 Bevins Ln Suite F Georgetown KY 40324-8534 |
| Practice Telephone | 5028632818 |
| Practice Fax Number | 5028632764 |
| Mailing Telephone | 5028632818 |
| Mailing Fax Number | 5028632764 |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2016-12-22 |
| Authorized Official Name | DR. ANDREW P. BALBAUGH (PARTNER) |
| Authorized Official Telephone | 5028632818 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 41057 | KY | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 41057 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100047760 | 05 | |
| KY | 7100059860 | 05 |
| Street Address |
196 BEVINS LN SUITE F |
| City | GEORGETOWN |
| State | KY |
| Zip Code | 40324-8534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265640411 | Andrew Peter Balbaugh | Internal Medicine | 196 Bevins Ln, Suite F, Georgetown, KY 40324-8534 | 2007-05-20 |
| 1568907798 | Kentucky Mso LLC | Internal Medicine | 196 Bevins Ln, Suite F, Georgetown, KY 40324-8534 | 2016-12-26 |
| 1790065738 | Cameron Stephenson | Nurse Practitioner | 196 Bevins Ln, Suite F, Georgetown, KY 40324-8534 | 2011-08-22 |
| 1306079165 | Erin Yvonne Johnson | Internal Medicine | 196 Bevins Ln, Suite F, Georgetown, KY 40324-8534 | 2009-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306457577 | Katherine Lynn Helly | Specialist/Technologist | 108 Crawford Dr, Georgetown, KY 40324 | 2020-08-12 |
| 1629530597 | Hannah Cheyenne Lambert | Occupational Therapy Assistant | 12 Dover Dr, Georgetown, KY 40324 | 2019-04-01 |
| 1669932430 | Kathlyn Reeves Cummings | Occupational Therapist | 112 Dover Drive Dover Manor, Georgetown, KY 40324 | 2019-03-20 |
| 1356848147 | Conundrum, Inc | Home Health | 107 Frazier Ct Ste 2b, Georgetown, KY 40324 | 2018-04-09 |
| 1831698893 | Staci Case | Counselor | 110 E. Main St. Suite 111, Georgetown, KY 40324 | 2018-02-06 |
| 1821537002 | Lesa Young | Counselor | 112 Gatewood Drive, Georgetown, KY 40324 | 2017-02-21 |
| 1508235904 | Recovery Works | Specialist | 3109 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1417326810 | Recovery Works | Specialist | 3111 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1982073383 | Recovery Works | Specialist | 3109-5 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1871962274 | Recovery Works | Specialist | 3111-5 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| Find all providers in zip 40324 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013270073 | Parul Singh | Pediatrics | 21141 Sterling Ave Unit 1, Georgetown, DE 19947-5571 | 2012-06-24 |
| 1790042158 | River Ridge Pediatrics, P.a. | Pediatrics | 1526 Leander Rd, Georgetown, TX 78628-8801 | 2012-04-23 |
| 1700110301 | Menaka Mahadevan | Pediatrics | 2423 Williams Dr Ste 103, Georgetown, TX 78628-3200 | 2009-09-29 |
| 1710169198 | Lone Star Circle of Care | Pediatrics | 1500 W University Ave Ste 103, Georgetown, TX 78628-7109 | 2007-11-28 |
| 1295931707 | Stephanie Flynn | Pediatrics | 631 East State Street, Georgetown, OH 45121-1437 | 2007-06-22 |
| 1578638896 | Adana Milliken Gipson | Pediatrics | San Gabriel Pediatrics 1524 Leander Road, Georgetown, TX 78628-8801 | 2006-11-21 |
| 1932293016 | Steven Geoffery Pickens | Pediatrics | 603 W University, Ste 110, Georgetown, TX 78626-6685 | 2006-10-03 |
| 1275626566 | Doris Eileen Hossalla | Pediatrics | 1524 Leander Rd, Georgetown, TX 78628-8801 | 2006-10-01 |
| 1710078050 | Vibha Sanwal | Pediatrics | 21141 Sterling Ave, Suite 1, Georgetown, DE 19947-5571 | 2006-09-28 |
| 1497861686 | Horace P. Hambrick | Pediatrics | 1162 Lexington Rd, Georgetown, KY 40324 | 2006-08-22 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 40324 |
Please comment or provide details below to improve the information on BLUEGRASS PEDIATRICS AND INTERNAL MEDICINE, PLLC.
| 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.