BLUEGRASS SURGICAL ASSOCIATION, PSC


Address: 996 Wilkinson Trce, Suite A5, Bowling Green, KY 42103-3407
Phone: 2707825219

BLUEGRASS SURGICAL ASSOCIATION, PSC (NPI# 1497814768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497814768
Entity Type Organization
Organization Name BLUEGRASS SURGICAL ASSOCIATION, PSC
Practice Address 996 Wilkinson Trce
Suite A5
Bowling Green
KY 42103-3407
Practice Telephone 2707825219
Practice Fax Number 2707939385
Mailing Telephone 2707825219
Mailing Fax Number 2707939385
Enumeration Date 2006-12-06
Last Update Date 2010-12-14
Authorized Official Name JOHN L KORBA (PRESIDENT)
Authorized Official Telephone 2707825219
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 25747 KY Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY 65924375 05

Office Location

Street Address 996 WILKINSON TRCE
SUITE A5
City BOWLING GREEN
State KY
Zip Code 42103-3407

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699738856 John L. Korba Specialist 996 Wilkinson Trce, Suite A5, Bowling Green, KY 42103-3407 2006-04-10
1033526934 David Robert Rupsch II Social Worker 996 Wilkinson Trce, Suite A-4, Bowling Green, KY 42103-3407 2014-07-13
1093120321 Lauren Allen Social Worker 996 Wilkinson Trce, Bowling Green, KY 42103-3407 2014-06-25
1659786036 Jennifer Johnson Social Worker 996 Wilkinson Trce, Suite A9, Bowling Green, KY 42103-3407 2014-06-24
1013295955 Eric Michael Schoening Dentist 996 Wilkinson Trce, B6, Bowling Green, KY 42103-3407 2011-07-26
1295777084 Western Kentucky Gastroenterology, LLC Internal Medicine 996 Wilkinson Trce, Suite A-10, Bowling Green, KY 42103-3407 2006-06-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679127781 Kw Consulting, LLC Counselor 1054 Searcy Way, Suite E, Bowling Green, KY 42103 2019-07-26
1063999662 Southern Kentucky Surgicenter, LLC Clinic/Center 484 Golden Autumn Way, Suite 100, Bowling Green, KY 42103 2018-07-26
1780170936 Midsouth Psychological Services, LLC Psychologist 996 Wilkinson Trce Ste A8, Bowling Green, KY 42103 2018-07-10
1760976146 Prorehab Inc Clinic/Center 1110 Wilkinson Trce Ste 101, Bowling Green, KY 42103 2018-06-19
1063927671 James Toney Counselor 624 Eastwood St, Bowling Green, KY 42103 2017-12-05
1366979528 Laura Elizabeth Compton Optometrist 335 New Towne Drive, Bowling Green, KY 42103 2017-05-18
1033562632 Elizabette Raby Massage Therapist 427 Us-31 Bypass, Suite 203, Bowling Green, KY 42103 2016-07-19
1831572460 Casey Edward Travelsted Dentist 940 Us 31 W Bypass, Bowling Green, KY 42103 2015-07-01
1821435074 Robert Louis Skaggs II Dermatology 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 2013-05-29
1770893257 Michelle Howell Health Educator 261 Moats Lane, Bowling Green, KY 42103 2010-10-18
Find all providers in zip 42103

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184104895 Paige Spear Specialist 661 Us 31w Byp Ste C, Bowling Green, KY 42101 2018-08-21
1023423357 Commonwealth Surgical Services, LLC Specialist 1945 Scottsville Rd B2 Pmb137, Bowling Green, KY 42104-3376 2014-06-25
1013226679 Brandy Leticia Adams Specialist 349 Brighton Ave, Bowling Green, KY 42101-9087 2010-09-30
1164666194 Lauren Michelle Daniels Specialist 237 Red Elm Ln, Bowling Green, KY 42101-7531 2009-04-21
1164620316 Tfc Physical Therapy, Pllc Specialist 542 Three Springs Rd, Bowling Green, KY 42104-7589 2007-07-10
1972700342 William A. Schwank, M.d. Specialist 1890 Lyda Ave Ste 101, Bowling Green, KY 42104-5829 2007-06-29
1467653162 Susan Diane Devine Specialist 812 Wrenwood Dr, Bowling Green, KY 42103-1582 2007-05-30
1730219429 Lisa Renee Murphy Specialist 104 E. 14th St., Bowling Green, KY 42101 2007-03-06
1770626731 Cherylan J. Franke Specialist 1013 Shive Ln, # 64, Bowling Green, KY 42103-8003 2007-02-15
1467556845 James T. Bergin, Md Psc Specialist 720 Second St, Ste 201, Bowling Green, KY 42101-1778 2006-09-07
Find all providers in BOWLING GREEN

Competitor

Search similar providers

City BOWLING GREEN
Zip Code 42103

Improve Information

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Dataset Information

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.

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