BLUEGRASS INTERNAL MEDICINE ASSOCIATES, PC (NPI# 1811911233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811911233 |
| Entity Type | Organization |
| Organization Name | BLUEGRASS INTERNAL MEDICINE ASSOCIATES, PC |
| Practice Address |
353 New Shackle Island Rd Suite 245c Hendersonville TN 37075-2379 |
| Practice Telephone | 6158262265 |
| Practice Fax Number | 6158264616 |
| Mailing Telephone | 6158262265 |
| Mailing Fax Number | 6158264616 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-10-30 |
| Authorized Official Name | MRS. MELISSA DAWN WEST (OFFICE MANAGER) |
| Authorized Official Telephone | 6158262265 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
APN8044 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS | 4112769 | 01 |
| Street Address |
353 NEW SHACKLE ISLAND RD SUITE 245C |
| City | HENDERSONVILLE |
| State | TN |
| Zip Code | 37075-2379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536468 | Muhammad Asad | Internal Medicine | 353 New Shackle Island Rd, Suite 300 C, Hendersonville, TN 37075-2379 | 2005-05-23 |
| 1104442037 | Dustin Cross | Nurse Practitioner | 353 New Shackle Island Rd, Hendersonville, TN 37075-2379 | 2020-06-16 |
| 1225563307 | Clayton Thomas Anderson | Nurse Practitioner | 353 New Shackle Island Rd, Suite #300c, Hendersonville, TN 37075-2379 | 2017-04-26 |
| 1578003109 | Laura Rhea Smith | Physical Therapist | 353 New Shackle Island Rd, 142c, Hendersonville, TN 37075-2379 | 2017-03-01 |
| 1609319136 | Kara Earthman | Nurse Practitioner | 353 New Shackle Island Rd, Suite 221b, Hendersonville, TN 37075-2379 | 2016-12-01 |
| 1194272930 | Emily C Fitzpatrick | Nurse Practitioner | 353 New Shackle Island Rd, Suite 122b, Hendersonville, TN 37075-2379 | 2016-09-09 |
| 1982158176 | Lake Spine Consultants LLC | Orthopaedic Surgery | 353 New Shackle Island Rd, Suite 141c, Hendersonville, TN 37075-2379 | 2016-08-05 |
| 1336692904 | Enjoli Gupton | Nurse Practitioner | 353 New Shackle Island Rd, 300c, Hendersonville, TN 37075-2379 | 2016-07-29 |
| 1821442963 | Kaci Goodgame | Nutritionist | 353 New Shackle Island Rd, Suite 122 B, Hendersonville, TN 37075-2379 | 2016-04-14 |
| 1659730117 | Kelly Victoria Tyus | Audiologist | 353 New Shackle Island Rd, Suite 202-a, Hendersonville, TN 37075-2379 | 2016-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667425 | Results-ast Jv, LLC | Physical Therapist | 326 New Shackle Island Rd, Suite 300, Hendersonville, TN 37075 | 2020-10-21 |
| 1871126524 | Jessica Elise Williams | Nurse Practitioner | 100 Indian Lake Blvd, Hendersonville, TN 37075 | 2020-02-20 |
| 1003379108 | Infusion Express of Tennessee, PC | Clinic/Center | 1006 Glenbrook Way, Ste 130, Hendersonville, TN 37075 | 2019-04-08 |
| 1417414335 | Red Owl Industries, LLC | Chiropractor | 16 Executive Park Dr # 100, Hendersonville, TN 37075 | 2019-02-27 |
| 1992203368 | Cassie Berman | Occupational Therapist | 209 Shivel Drive, Hendersonville, TN 37075 | 2018-01-31 |
| 1407379373 | Hendersonville Smiles Dentistry, PC | Dentist | 1002 Glenbrook Way, Suite 200, Hendersonville, TN 37075 | 2017-07-21 |
| 1215483466 | Ryan Escue | Registered Nurse | 4221 Harding Pike, Nashville, TN 37075 | 2016-08-28 |
| 1003279589 | Grant Anderson | Physician Assistant | 211 Indian Lake Bloulevard, Hendersonville, TN 37075 | 2016-04-01 |
| 1073974192 | Jennifer Kramer | Nurse Practitioner | 103 Hazel Path Ct, Suite 7, Hendersonville, TN 37075 | 2016-03-16 |
| 1144680315 | Catherine Alexandria Wellendorf | Specialist/Technologist | 3126 Long Hollow Pike, Hendersonville, TN 37075 | 2016-03-02 |
| Find all providers in zip 37075 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851632491 | Ecareamerica | Clinic/Center | 293 New Shackle Island Rd, Hendersonville, TN 37075-2349 | 2013-03-06 |
| 1073846697 | Indian Lake Medical Weight Loss & Wellness, Pllc | Clinic/Center | 133 Indian Lake Rd, Suite 204, Hendersonville, TN 37075-3883 | 2009-09-14 |
| 1598891665 | Highland Medical Associates, P.a. | Clinic/Center | 165 Coolridge Street, Hendersonville, NC 28792-2767 | 2007-02-25 |
| 1952708406 | Stanton Calvarese II | Clinic/Center | 100 Glen Oak Blvd, Hendersonville, TN 37075-3025 | 2014-11-28 |
| 1982021721 | Paul S Daugherty Md PC | Clinic/Center | 107 Imperial Blvd, Suite 5, Hendersonville, TN 37075-3479 | 2014-03-18 |
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|---|---|---|---|---|
| 1780281527 | Braxton Medical Clinic, LLC | Clinic/Center | 1410 Kensington Square Ct Ste 103, Murfreesboro, TN 37130-6902 | 2020-10-05 |
| 1629689674 | Saint Thomas Medical Partners | Clinic/Center | 220 West Jefferson Pike, Murfreesboro, TN 37129 | 2020-08-13 |
| 1700411592 | Fentress Family Care LLC | Clinic/Center | 1010 Old Highway 127 S, Jamestown, TN 38556-5648 | 2020-03-11 |
| 1831724822 | Guiding Star Memphis | Clinic/Center | 2980 Poplar Ave Ste 101, Memphis, TN 38111-3527 | 2020-03-10 |
| 1407486764 | Elijahs Dream Compassionate Care | Clinic/Center | 134 Creekside Dr Ste 1, Ocoee, TN 37361-3653 | 2020-01-24 |
| 1518506542 | Faith Medical Group, Pllc | Clinic/Center | 500 Mcfarland St Ste E, Morristown, TN 37814-3992 | 2019-12-20 |
| 1366080582 | Matthew E. Schantz, M.d. | Clinic/Center | 206 S Military St Ste 1, Loretto, TN 38469-2101 | 2019-12-18 |
| 1114563749 | Step One Medical Associates PC | Clinic/Center | 4502 Bristol Hwy, Johnson City, TN 37601-2936 | 2019-11-19 |
| 1023665403 | Elite Healthcare, LLC | Clinic/Center | 117 N 3rd St, Kingston, TN 37763-2842 | 2019-08-21 |
| 1083266381 | Get Into Shape Md | Clinic/Center | 5803 Lee Hwy Ste 101, Chattanooga, TN 37421-3547 | 2019-07-16 |
| Find all providers with the same taxonomy | ||||
| City | HENDERSONVILLE |
| Zip Code | 37075 |
Please comment or provide details below to improve the information on BLUEGRASS INTERNAL MEDICINE ASSOCIATES, PC.
| 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.