BLUEGRASS VASCULAR INSTITUTE (NPI# 1619325719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619325719 |
| Entity Type | Organization |
| Organization Name | BLUEGRASS VASCULAR INSTITUTE |
| Practice Address |
101 Financial Dr Suite B103 Elizabethtown KY 42701 |
| Practice Telephone | 5022030300 |
| Practice Fax Number | 2705690000 |
| Mailing Telephone | 7709102377 |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-10-26 |
| Authorized Official Name | MIRZA AHMED (PARTNER) |
| Authorized Official Telephone | 4047753232 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
034761 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
101 FINANCIAL DR SUITE B103 |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1982606604 | Prabodh Mehta | Internal Medicine | 1324 Woodland Drive, Suite A, Elizabethtown, KY 42701-2746 | 2005-08-12 |
| 1770817124 | Joseph Chacko Valayam | Internal Medicine | 1324 Woodland Dr, Suite A, Elizabethtown, KY 42701-2651 | 2009-10-01 |
| 1720283187 | John R Holt | Internal Medicine | 1324 Woodland Dr, Suite A, Elizabethtown, KY 42701-2651 | 2007-06-18 |
| 1205047818 | Ekg Psc | Internal Medicine | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 | 2007-05-24 |
| 1508859315 | Mohammad K Gayasaddin | Internal Medicine | 914 N Dixie Ave, Suite 301, Elizabethtown, KY 42701-2520 | 2005-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881182657 | Have A Heart Foundation Inc | Internal Medicine | 310 E Broadway Ste 100, Louisville, KY 40202-1745 | 2018-04-27 |
| 1104356567 | Mmr Cardiovascular Consulting LLC | Internal Medicine | 1101 Glenlake Way, Louisville, KY 40245 | 2017-06-18 |
| 1992246953 | Northeast Cardiology Pllc | Internal Medicine | 1313 St.anthony Place, Louisville, KY 40204-0130 | 2017-03-10 |
| 1427410596 | Lauren Albers | Internal Medicine | 550 South Jackson St, Louisville, KY 40202 | 2016-03-28 |
| 1396138202 | Louisville Cardiovascular Care Pllc | Internal Medicine | 1411 Hadleigh Pl, Louisville, KY 40222-5652 | 2015-03-17 |
| 1629481270 | Harleen Chahil | Internal Medicine | 201 Abraham Flexner Way Ste 600, Louisville, KY 40202-3841 | 2014-06-10 |
| 1710329776 | Jovil Kannampuzha | Internal Medicine | 1300 Merritt Dr Ste 110, Henderson, KY 42420-2788 | 2013-07-19 |
| 1972842201 | Francis Attah Benn | Internal Medicine | 900 S Limestone Ctw 326, Lexington, KY 40536-3609 | 2013-02-06 |
| 1578827630 | Ahmad Ramy Elashery | Internal Medicine | 900 S Limestone St Ctw 326, Lexington, KY 40536-5805 | 2012-07-03 |
| 1831415579 | Geko Inc | Internal Medicine | 1552 Ormsby Station Ct, Louisville, KY 40223-4019 | 2010-04-19 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
Please comment or provide details below to improve the information on BLUEGRASS VASCULAR INSTITUTE.
| 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.