BLUEGRASS KIDNEY CONSULTANTS PSC (NPI# 1558500918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558500918 |
| Entity Type | Organization |
| Organization Name | BLUEGRASS KIDNEY CONSULTANTS PSC |
| Practice Address |
721 S Preston St Fl 2 Louisville KY 40203-2319 |
| Mailing Address |
13507 Ridgemoor Dr Prospect KY 40059-7144 |
| Practice Telephone | 5025831799 |
| Practice Fax Number | 5025831792 |
| Mailing Telephone | 8592919100 |
| Mailing Fax Number | 8592919101 |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2017-10-04 |
| Authorized Official Name | JAI P BHIMANI (OWNER) |
| Authorized Official Telephone | 5025831799 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Street Address |
721 S PRESTON ST FL 2 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40203-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285199422 | Amanda B. Bierman | Nurse Practitioner | 721 S Preston St Fl 2, Louisville, KY 40203-2319 | 2019-02-01 |
| 1063968576 | Laura M. Noel | Nurse Practitioner | 721 S Preston St Fl 2, Louisville, KY 40203-2319 | 2016-08-26 |
| 1588017792 | Brandi M. Neff-short | Nurse Practitioner | 721 S Preston St Fl 2, Louisville, KY 40203-2319 | 2016-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295211738 | Integrated Health Systems LLC | Psychiatry & Neurology | 645 S Roy Wilkins Ave Ste 300, Louisville, KY 40203 | 2018-07-18 |
| 1104317734 | Usimc of West Virginia Medical Corporation | Clinic/Center | 908 W Broadway Fl 8, Louisville, KY 40203 | 2018-05-18 |
| 1699296293 | Jennifer Christine Angermeier | Nurse Practitioner | 1130 W Chestnut St, Louisville, KY 40203 | 2017-07-05 |
| 1083162812 | Deloris Jean Johnson | Social Worker | 1022 South 6th Street, Louisville, KY 40203 | 2016-09-21 |
| 1770978512 | Michael Bricken | Pediatrics | 760 S Hancock St # B100, Louisville, KY 40203 | 2015-03-30 |
| 1770906885 | Jason Scott Underhill | Counselor | 214 E Breckinridge St, Louisville, KY 40203 | 2014-01-24 |
| 1316372592 | Tonya Alicia Clay | Marriage & Family Therapist | 1000 South 5th Street, Family & Children's Place, Louisville, KY 40203 | 2013-09-06 |
| 1780929216 | Harambee Health Center, Inc | Clinic/Center | 800 South Preston St., Louisville, KY 40203 | 2012-12-10 |
| 1083977276 | Synergy Rehabilitation, Inc. | Physical Therapist | 832 S. 6th Street, Suite C, Louisville, KY 40203 | 2012-06-21 |
| 1043572803 | Sonya Helen Mitchell | Counselor | 2225 W. Broadway, Louisville, KY 40203 | 2012-06-07 |
| Find all providers in zip 40203 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881887685 | Hania Kassem | Internal Medicine | 716 W. Broadway, Louisville, KY 40202-2216 | 2007-08-24 |
| 1245443555 | Vibha S Nayak | Internal Medicine | 3813 Zaring Mill Cir, Louisville, KY 40241-3037 | 2007-05-07 |
| 1659402287 | Dawn Jaclyn Caster | Internal Medicine | 401 E Chestnut St Unit 690, Louisville, KY 40202-5706 | 2007-03-07 |
| 1699754655 | Bhagwan Bhimani | Internal Medicine | 234 East Gray Street, Suite 858, Louisville, KY 40202-1715 | 2006-01-10 |
| 1043291081 | Khurram Nazeer | Internal Medicine | 234 East Gray, Suite 858, Louisville, KY 40202-1715 | 2005-11-08 |
| 1467456384 | Sanford Todd Reikes | Internal Medicine | 200 E Chestnut St, Louisville, KY 40202-1831 | 2005-06-09 |
| 1033578612 | Louisville Kidney Care | Internal Medicine | 200 Abraham Flexner Way, Louisville, KY 40202-2877 | 2016-02-11 |
| 1437494291 | Sultana Faiyaz Corporation, LLC | Internal Medicine | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2012-12-05 |
| 1760747430 | Karthikeyan Venkatachalam | Internal Medicine | 401 E Chestnut St Unit 690, Louisville, KY 40202-5706 | 2012-07-09 |
| 1679839393 | University of Louisville Physicians, Inc | Internal Medicine | 615 S Preston St, Louisville, KY 40202-1715 | 2012-04-06 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40203 |
Please comment or provide details below to improve the information on BLUEGRASS KIDNEY CONSULTANTS PSC.
| 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.