BLUEGRASS SPORTS MEDICINE PLLC (NPI# 1497806905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497806905 |
| Entity Type | Organization |
| Organization Name | BLUEGRASS SPORTS MEDICINE PLLC |
| Practice Address |
3920 Dutchmans Ln Suite 314 Louisville KY 40207-4702 |
| Practice Telephone | 5028951489 |
| Practice Fax Number | 5028951261 |
| Mailing Telephone | 5028951489 |
| Mailing Fax Number | 5028951261 |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2007-11-15 |
| Authorized Official Name | DR. GREG W RENNIRT (MD) |
| Authorized Official Telephone | 5028951489 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 29728 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
3920 DUTCHMANS LN SUITE 314 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336142447 | Thomas Marion Loeb | Specialist | 3920 Dutchmans Ln, Suite 310, Louisville, KY 40207-4702 | 2005-05-23 |
| 1093341497 | Uofl Health-louisville Inc | Clinic/Center | 3920 Dutchmans Ln, Louisville, KY 40207-4020 | 2020-03-17 |
| 1124661897 | Uofl Health-louisville Inc | Clinic/Center | 3920 Dutchmans Ln, Louisville, KY 40207-4702 | 2019-10-24 |
| 1841743267 | Holly Stewart | Physician Assistant | 3920 Dutchmans Ln, Louisville, KY 40207-4702 | 2016-08-02 |
| 1528432689 | Abbey Elizabeth Porter | Nurse Practitioner | 3920 Dutchmans Ln, 310, Louisville, KY 40207-4702 | 2015-11-30 |
| 1629466859 | Tam T Duong | Nurse Practitioner | 3920 Dutchmans Ln, Suite 305, Louisville, KY 40207-4702 | 2014-12-22 |
| 1306130836 | Andrew Daylin Lewis | Physician Assistant | 3920 Dutchmans Ln, Louisville, KY 40207-4702 | 2011-06-01 |
| 1043414873 | Bluegrass Orthopaedic Group Psc | Neuromusculoskeletal Medicine, Sports Medicine | 3920 Dutchmans Ln, Suite 314, Louisville, KY 40207-4702 | 2007-06-14 |
| 1194942177 | Associates In General Suergy,psc | Surgery | 3920 Dutchmans Ln, 302, Louisville, KY 40207-4702 | 2007-04-19 |
| 1437270204 | Rebecca L Rao | Emergency Medicine | 3920 Dutchmans Ln, Louisville, KY 40207-4702 | 2007-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477900629 | Musculoskeletal Associates Pllc | Neuromusculoskeletal Medicine & OMM | 3010 Eastpoint Pkwy, Louisville, KY 40223-4185 | 2016-05-18 |
| 1417243999 | Mark Conliffe | Neuromusculoskeletal Medicine & OMM | 241 Sears Ave, Ste 3, Louisville, KY 40207-5066 | 2011-06-23 |
| 1063862506 | Kentucky Blue Medical LLC | Neuromusculoskeletal Medicine & OMM | 4602 Southern Pkwy Ste 1a, Louisville, KY 40214-1442 | 2016-06-15 |
| 1629014675 | Karen Avanesov | Neuromusculoskeletal Medicine & OMM | 210 E Gray St, Suite 900, Louisville, KY 40202-3900 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326261892 | Douglas E Vick | Neuromusculoskeletal Medicine & OMM | 208 Crossfield Dr, Versailles, KY 40383-1468 | 2007-04-11 |
| 1952452583 | Amir Zia | Neuromusculoskeletal Medicine & OMM | 523 Park St, Bowling Green, KY 42101-1765 | 2007-01-12 |
| 1215910906 | John Y. Barbee Jr. | Neuromusculoskeletal Medicine & OMM | 7520 Highgrove Road, Bloomfield, KY 40008-0507 | 2005-11-28 |
| 1215919451 | Jerome Anthony Dixon | Neuromusculoskeletal Medicine & OMM | 150 W Bear Track Rd, Campbellsville, KY 42718-8709 | 2005-11-15 |
| 1891197273 | Ryan Freibert | Neuromusculoskeletal Medicine & OMM | 405 Violet Rd, Crittenden, KY 41030-8956 | 2014-09-17 |
| 1245559632 | Antoinette Justice | Neuromusculoskeletal Medicine & OMM | 184 S Mayo Trl, Pikeville, KY 41501-1518 | 2010-05-25 |
| 1609099100 | Daniel Bailey Moore | Neuromusculoskeletal Medicine & OMM | 208 Crossfield Dr, Versailles, KY 40383-1468 | 2007-04-11 |
| 1649318221 | Edward G. Stiles | Neuromusculoskeletal Medicine & OMM | 184 S Mayo Trl, Pikeville, KY 41501-1518 | 2007-02-03 |
| 1326002676 | Laura E Griffin | Neuromusculoskeletal Medicine & OMM | 184 S Mayo Trl, Pikeville, KY 41501-1518 | 2006-04-13 |
| 1881695849 | Michael Scott Carnes | Neuromusculoskeletal Medicine & OMM | 184 S Mayo Trl, Pikeville, KY 41501-1518 | 2005-08-02 |
| Find all providers with the same taxonomy | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
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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.