BLUEGRASS INTERNAL MEDICINE AND NEPHROLOGY (NPI# 1609361724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609361724 |
| Entity Type | Organization |
| Organization Name | BLUEGRASS INTERNAL MEDICINE AND NEPHROLOGY |
| Practice Address |
4101 Tates Creek Centre Dr Lexington KY 40517-3066 |
| Practice Telephone | 8164567181 |
| Mailing Telephone | 8164567181 |
| Enumeration Date | 2018-06-30 |
| Last Update Date | 2019-01-24 |
| Authorized Official Name | HAZEM KAKAJI (OWNER) |
| Authorized Official Telephone | 8164567181 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Street Address |
4101 TATES CREEK CENTRE DR |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40517-3066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669406484 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 4101 Tates Creek Centre Dr, Lexington, KY 40517-3066 | 2006-07-10 |
| 1053922526 | Brooklyne Paige Chitwood | Pharmacist | 4101 Tates Creek Centre Dr, Lexington, KY 40517-3066 | 2020-08-10 |
| 1285251223 | Patricia Taluskie I | Pharmacist | 4101 Tates Creek Centre Dr, Lexington, KY 40517-3066 | 2020-06-25 |
| 1427682442 | Carrie Ward Hamilton | Pharmacist | 4101 Tates Creek Centre Dr, Lexington, KY 40517-3066 | 2020-02-28 |
| 1023579976 | Elizabeth Henry Magner | Pharmacist | 4101 Tates Creek Centre Dr, Lexington, KY 40517-3066 | 2019-03-25 |
| 1538565346 | Bryan James | Physical Therapist | 4101 Tates Creek Centre Dr, Lexington, KY 40517-3066 | 2014-11-06 |
| 1578976502 | William Hankinson | Pharmacist | 4101 Tates Creek Centre Dr, Ste 156, Lexington, KY 40517-3066 | 2014-06-06 |
| 1518380583 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 4101 Tates Creek Centre Dr, Lexington, KY 40517 | 2014-01-28 |
| 1265714364 | Whitney Brooke Deweese | Physical Therapist | 4101 Tates Creek Centre Dr, Ste 144, Lexington, KY 40517-3066 | 2011-09-14 |
| 1679866602 | James Stephen Long | Pharmacist | 4101 Tates Creek Centre Dr, Lexington, KY 40517-3066 | 2011-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861842 | Odell Levi Dixon | Peer Specialist | 105 S Main Cross St, Louisa, KY 40517 | 2020-11-03 |
| 1538638515 | Lionheart Trauma Support Services, LLC | Social Worker | 168 E Reynolds Rd., Suite 210, Lexington, KY 40517 | 2018-11-19 |
| 1467964486 | Leila M Goodpaster | Counselor | 3205 Elk Lake Ct., Lexington, KY 40517 | 2017-10-31 |
| 1588108609 | Body Structure Clinic | Dietitian, Registered | 2600 Gribbin Dr., Lexington, KY 40517 | 2016-12-08 |
| 1932538766 | Lydia Akin | Social Worker | 3150 Custer Dr., Suite 103, Lexington, KY 40517 | 2013-11-02 |
| 1083986335 | Family Counseling Service | Social Worker | 1393 Trent Blvd., Lexington, KY 40517 | 2012-02-02 |
| 1356624233 | Michael Glindmeyer | Physical Therapist | 2600 Gribbin Drive, Lexington, KY 40517 | 2011-09-27 |
| 1740574052 | Benjamin Marshall | Psychiatry & Neurology | 228 E. Reynolds Rd, Ste B2, Lexington, KY 40517 | 2011-06-03 |
| 1982913745 | Cynae Rashel Carter | Social Worker | 343 Waller Avenue, Suite 201, Lexington, KY 40517 | 2010-09-28 |
| 1548401185 | Jason Eugene Thomas | Counselor | 1393 Trent Boulevard, Building 2, Suite 2101, Lexington, KY 40517 | 2009-03-11 |
| Find all providers in zip 40517 | ||||
| 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 |
|---|---|---|---|---|
| 1518138759 | Muhammad Irfan Atiq | Internal Medicine | 1401 Harrodsburg Rd Ste C335, Lexington, KY 40504-1791 | 2008-03-16 |
| 1831292309 | Thomas Wilcox Ferguson | Internal Medicine | 1401harrodsburg Rd, C335, Lexington, KY 40504 | 2006-09-07 |
| 1487757951 | Khalil Ur Rahman | Internal Medicine | 1401 Harrodsburg Rd C-335, Lexington, KY 40504 | 2006-09-07 |
| 1093753063 | Ziad W. Deeb Sara | Internal Medicine | 3229 Summit Square Pl, Suite 240, Lexington, KY 40509-2648 | 2006-06-03 |
| 1528064011 | John Michael Lazarus | Internal Medicine | 95 Hayden Ave, Lexington, MA 02421-7942 | 2005-06-21 |
| 1285233031 | Lex Kidney Care Pllc | Internal Medicine | 448 Lewis Hargett Cir, Lexington, KY 40503-3594 | 2020-10-22 |
| 1619359148 | Katherine Michele Donaldson | Internal Medicine | 800 S Limestone, Lexington, KY 40536 | 2015-06-21 |
| 1164803300 | Adam Alperstein | Internal Medicine | University of Kentucky, 800 Rose Street, Lexington, KY 40536 | 2015-06-12 |
| 1477966935 | Faizan Babar | Internal Medicine | 1401 Harrodsburg Rd Ste C335, Lexington, KY 40504-1791 | 2014-06-03 |
| 1811185028 | Dialysis Clinic Inc. | Internal Medicine | 1451 Harrodsburg Rd, Suite D-304, Lexington, KY 40504-3758 | 2007-10-12 |
| 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.