BLUEGRASS ORTHOPAEDICS PSC (NPI# 1447622394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447622394 |
| Entity Type | Organization |
| Organization Name | BLUEGRASS ORTHOPAEDICS PSC |
| Other Organization Name | BLUEGRASS ORTHOPAEDICS |
| Practice Address |
3480 Yorkshire Medical Park Lexington KY 40509 |
| Mailing Address |
3480 Yorkshire Medical Park Lexington KY 40509-1886 |
| Practice Telephone | 8592635140 |
| Practice Fax Number | 8592635141 |
| Mailing Telephone | 8592635140 |
| Mailing Fax Number | 8592635141 |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2019-08-22 |
| Authorized Official Name | GREGORY L D'ANGELO (PRESIDENT) |
| Authorized Official Telephone | 8592635140 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100462920 | 05 | |
| KY | 7100391610 | 05 | |
| KY | 7100391600 | 05 | |
| KY | 7100459980 | 05 | |
| KY | MEDICAID DME | 7100442680 | 01 |
| KY | 7100462960 | 05 | |
| KY | 7100552560 | 05 |
| Other Name | Type Code |
|---|---|
| Bluegrass Orthopaedics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164922266 | Bluegrass Orthopaedics Psc | Orthopaedic Surgery | 3401 Yorkshire Medical Park, Lexington, KY 40509-2513 | 2018-02-15 |
| 1952757635 | Bluegrass Orthopaedics Psc | Durable Medical Equipment & Medical Supplies | 101 Windsor Path, Georgetown, KY 40324-9617 | 2016-05-11 |
| 1356772933 | Bluegrass Orthopaedics Psc | Durable Medical Equipment & Medical Supplies | 1868 Plaudit Pl, Lexington, KY 40509-2429 | 2013-12-06 |
| Street Address |
3480 YORKSHIRE MEDICAL PARK |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942294236 | Juan Martin Favetto | Orthopaedic Surgery | 3480 Yorkshire Medical Park, Lexington, KY 40509 | 2005-09-01 |
| 1336793330 | Ansley Swann | Specialist/Technologist | 3480 Yorkshire Medical Park, Lexington, KY 40509-1886 | 2019-07-29 |
| 1376102020 | Hannah Leigh Clayton | Specialist/Technologist | 3480 Yorkshire Medical Park, Lexington, KY 40509-1886 | 2019-06-06 |
| 1831663327 | Stephanie Nicole Dalton | Specialist/Technologist, Other | 3480 Yorkshire Medical Park, Lexington, KY 40509-1886 | 2019-01-17 |
| 1750873527 | Alyssa Jolene Hoagland | Occupational Therapist | 3480 Yorkshire Medical Park, Lexington, KY 40509 | 2018-06-06 |
| 1063887818 | Christopher Bagbey | Physical Therapist | 3480 Yorkshire Medical Park, Lexington, KY 40509-1886 | 2015-12-04 |
| 1780051110 | Becky Lynn Sullivan | Physician Assistant | 3480 Yorkshire Medical Park, Lexington, KY 40509-1886 | 2015-09-02 |
| 1093064586 | Kevin Denehy | Orthopaedic Surgery | 3480 Yorkshire Medical Park, Lexington, KY 40509-1886 | 2012-08-30 |
| 1477820793 | Laura M Burke | Registered Nurse | 3480 Yorkshire Medical Park, Lexington, KY 40509-1886 | 2011-12-01 |
| 1013151448 | Isaac B Caton | Physician Assistant | 3480 Yorkshire Medical Park, Lexington, KY 40509-1886 | 2009-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453640 | Grace T. Hallak | Counselor | 513 Darby Creek Rd, Lexington, KY 40509 | 2019-08-19 |
| 1932755774 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 4801 Athens Boonesboro Rd, Lexington, KY 40509 | 2019-08-16 |
| 1497308266 | Discover You Counseling LLC | Social Worker | 513 Darby Creek Drive, Unit 56 D, Lexington, KY 40509 | 2019-07-22 |
| 1407323611 | Trevor Douglas Mchardy | Physician Assistant | 101 North Eagle Creek Drive, Lexington, KY 40509 | 2018-10-25 |
| 1114413184 | Megan Medrano | Dietitian, Registered | 163 Old Todds Rd Ste 115, Lexington, KY 40509 | 2018-07-02 |
| 1750884292 | Active Medical LLC | Durable Medical Equipment & Medical Supplies | 3470 Blazer Pkwy Ste 350, Lexington, KY 40509 | 2018-03-12 |
| 1699273599 | Frederick Douglas High School | Public Health or Welfare | 2000 Winchester Rd, Lexington, KY 40509 | 2018-01-25 |
| 1710409370 | Sleep Identity Pllc | Clinic/Center | 541 Darby Creek Road, Ste 190, Lexington, KY 40509 | 2017-07-14 |
| 1164956397 | Danielle Anderson | Family Medicine | 24 Fountain Court, Suite 225, Lexington, KY 40509 | 2017-04-14 |
| 1356891782 | Dawn Jones | Physician Assistant | 101 N Eagle Creek Dr, Ste 120, Lexington, KY 40509 | 2016-10-10 |
| Find all providers in zip 40509 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588168611 | Boshen Liu | Orthopaedic Surgery | 740 S Limestone Room K403, Lexington, KY 40536-0293 | 2018-03-22 |
| 1598265993 | Cumberland Foot & Ankle Centers | Orthopaedic Surgery | 141 Prosperous Pl Ste 22a, Lexington, KY 40509-1854 | 2018-02-13 |
| 1255799011 | Howard Dane Markowitz | Orthopaedic Surgery | 1404 Lookout Cir, Lexington, KY 40502-3002 | 2016-02-08 |
| 1902211832 | Richard Zackary Unger | Orthopaedic Surgery | 740 S Limestone Rm K403, Lexington, KY 40536-0001 | 2014-06-30 |
| 1184987844 | Maureen O'shaughnessy | Orthopaedic Surgery | 740 Slimestone Street Kentucky Clinic Suite K401, Lexington, KY 40536 | 2012-06-19 |
| 1952620718 | Camden Bryce Burns | Orthopaedic Surgery | 740 S Limestone Ave Ste 401k, Lexington, KY 40536-0001 | 2010-05-19 |
| 1154649770 | Paul Edward Matuszewski | Orthopaedic Surgery | Uk Orthopaedics, 740 S. Limestone, Lexington, KY 40536-0001 | 2010-05-06 |
| 1952627226 | Elizabeth Walker Hubbard | Orthopaedic Surgery | 110 Conn Terrace, Lexington, KY 40508-3206 | 2010-04-12 |
| 1174851463 | William Dobozi | Orthopaedic Surgery | 1700 Sahalee Dr, Lexington, KY 40511-9588 | 2009-11-24 |
| 1952638629 | Vinayak P Bhavalkar | Orthopaedic Surgery | 3751 Appian Way, Apt 27, Lexington, KY 40517-5926 | 2009-11-17 |
| Find all providers in LEXINGTON | ||||
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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.