BLUEGRASS PAIN MANAGEMENT, PSC (NPI# 1639263338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639263338 |
| Entity Type | Organization |
| Organization Name | BLUEGRASS PAIN MANAGEMENT, PSC |
| Practice Address |
1760 Nicholasville Road Suite 503 Lexington KY 40503 |
| Practice Telephone | 8592755229 |
| Practice Fax Number | 8599772683 |
| Mailing Telephone | 8592755229 |
| Mailing Fax Number | 8599772683 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-25 |
| Authorized Official Name | DAVID P BOSOMWORTH II (OWNER) |
| Authorized Official Telephone | 8592755229 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65941361 | 05 |
| Street Address |
1760 NICHOLASVILLE ROAD SUITE 503 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548804743 | Lucas Kyle Brothers | Occupational Therapist | 401 Lewis Hargett Cir #120, Lexington, KY 40503 | 2019-10-30 |
| 1598322364 | Bobbi Jo Macqueston | Developmental Therapist | 825 Apache Trail, Lexington, KY 40503 | 2019-05-28 |
| 1750846234 | Smart Dental & Hygiene Express | Dentist | 2600 Nicholasville Rd Suite 120, Lexington, KY 40503 | 2019-02-08 |
| 1780148353 | Southland Child, Adult, and Family Counseling | Counselor | 2039 Regency Rd., Ste 1, Lexington, KY 40503 | 2019-01-28 |
| 1073093357 | Amanda Zachem | Nurse Practitioner | 1780 Nicholasville Rd., Suite #203, Lexington, KY 40503 | 2018-08-16 |
| 1083101240 | Man O War Urgent Care LLC | Nurse Practitioner | 4097 Nichols Park Dr Ste 108, Lexington, KY 40503 | 2018-04-13 |
| 1255833737 | Bennett Gatto | Physical Therapist | 3882 Mall Road, Lexington, KY 40503 | 2018-03-01 |
| 1528566114 | Alteri, LLC | Counselor | 1517 Nicholasville Rd Ste 402, Lexington, KY 40503 | 2018-01-29 |
| 1245748235 | Sherry Kay Adkins | Registered Nurse | Baptist Health Lexington 1740 Nicholasville Road, Diabetes Education, Lexington, KY 40503 | 2018-01-12 |
| 1003334780 | Martin Bennett Hundley | Counselor | 274 Southland Dr # 204, Lexington, KY 40503 | 2017-09-01 |
| Find all providers in zip 40503 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
| 1942205638 | Ballard D Wright | Pain Medicine | 2416 Regency Rd, Ste 30, Lexington, KY 40503-2954 | 2005-06-17 |
| 1558590380 | William O. Witt, M.d., Pllc | Pain Medicine | 2050 Versailles Rd, Suite 205, Lexington, KY 40504-1405 | 2009-07-14 |
| 1316944192 | Lauren K Larson | Pain Medicine | 2416 Regency Rd, Lexington, KY 40503-2954 | 2005-07-07 |
| 1477558005 | Peter D Wright | Pain Medicine | 2416 Regency Rd, Ste 30, Lexington, KY 40503-2954 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346766441 | Integrated Pain Management of Kentucky LLC | Pain Medicine | 210 Thomas More Pkwy Ste B, Crestview Hills, KY 41017-3429 | 2017-08-21 |
| 1578981718 | Restore Rehabilitation | Pain Medicine | 6400 Dutchmans Pkwy Ste 80, Louisville, KY 40205-3340 | 2014-04-04 |
| 1508201898 | Center for Pain Management | Pain Medicine | 440 B High St, Bowling Green, KY 42101 | 2013-05-01 |
| 1689994154 | Cumberland Brain and Spine, Pllc | Pain Medicine | 1641 Scottsville Rd, Bowling Green, KY 42104-3244 | 2010-06-08 |
| 1235358243 | Gary L Reasor, Md P.s.c | Pain Medicine | 4121 Dutchmans Ln Ste 606, Louisville, KY 40207-4725 | 2007-04-25 |
| 1407995517 | Cassari Pain Treatment Center Inc | Pain Medicine | 4010 Dupont Circle #430, Louisville, KY 40207 | 2007-02-05 |
| 1922186378 | Tri-state Advanced Pain Management Pllc | Pain Medicine | 3332 Villa Pt Ste 104, Owensboro, KY 42303-7818 | 2006-11-02 |
| 1164518080 | David P Bosomworth II | Pain Medicine | 279 Kings Daughters Dr Ste 100, Frankfort, KY 40601 | 2006-10-05 |
| 1265525653 | Bill Walker Haney | Pain Medicine | 6400 Dutchmans Pkwy Ste 60, Louisville, KY 40205-3341 | 2006-09-30 |
| 1992805410 | Sai P Gutti | Pain Medicine | 515 N Bypass Rd, Suite 101, Pikeville, KY 41501-1331 | 2006-09-24 |
| Find all providers with the same taxonomy | ||||
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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.