BLUEGRASS SPINE CARE, PSC (NPI# 1982755682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982755682 |
| Entity Type | Organization |
| Organization Name | BLUEGRASS SPINE CARE, PSC |
| Practice Address |
1741 Midland Trl Shelbyville KY 40065-1711 |
| Practice Telephone | 5026330192 |
| Practice Fax Number | 5026334164 |
| Mailing Telephone | 5026330192 |
| Mailing Fax Number | 5026334164 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2018-09-26 |
| Authorized Official Name | MARK A MYERS (OWNER) |
| Authorized Official Telephone | 5026330192 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
32619 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | CHA | 122601 | 01 |
| KY | AETNA | 5344332 | 01 |
| KY | 65930299 | 05 | |
| KY | HUMANA | 000802487 | 01 |
| KY | PASSPORT | 1063266 | 01 |
| KY | PASSPORT ADVANTAGE | 2434349000 | 01 |
| KY | CIGNA | 5134693001 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1023 New Moody Ln Ste 202, La Grange, KY 400319180 | 5026330192 | 5026334164 |
| 279 Kings Daughters Dr Ste 203, Frankfort, KY 406016562 | 5026330192 | 5026334164 |
| 327 N Main St, Owenton, KY 403591409 | 5026330192 | 5026334164 |
| Street Address |
1741 MIDLAND TRL |
| City | SHELBYVILLE |
| State | KY |
| Zip Code | 40065-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467456855 | Mark A Myers | Orthopaedic Surgery | 1741 Midland Trl, Shelbyville, KY 40065-1711 | 2005-06-13 |
| 1134132285 | Bluegrass Osteoporosis Center, Pllc | Radiologic Technologist | 1741 Midland Trl, Shelbyville, KY 40065-1711 | 2006-08-13 |
| 1780665174 | John T Mahan | Orthopaedic Surgery | 1741 Midland Trl, Shelbyville, KY 40065-1711 | 2005-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013348242 | Elisa Sykes-brees | Counselor | 250 Alpine Drive, Shelbyville, KY 40065 | 2013-12-13 |
| 1073800512 | Mimi Y. R. Rayburn | Nurse Practitioner | 865 Old Taylorsville Rd, Shelbyville, KY 40065 | 2011-07-05 |
| 1124310677 | Amanda B Dassel | Pharmacist | 1605 Midland Trail, Shelbyville, KY 40065 | 2011-05-03 |
| 1639468812 | Tia M Alton | Pediatrics | 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 | 2011-03-29 |
| 1699073338 | Emily Ann Waits | Dietitian, Registered | 615 11th Street, Shelby County Health Dept., Shelbyville, KY 40065 | 2011-03-04 |
| 1124335401 | Kelli L. Fetter | Occupational Therapist | 1900 Midland Trail, Ste 1 & 2, Shelbyville, KY 40065 | 2010-09-08 |
| 1083939425 | Marilyn Louise Rhoads | Licensed Practical Nurse | 615 Washington Street, Mercy Clinic, Shelbyville, KY 40065 | 2010-03-29 |
| 1154525277 | Dorman Preschool Center | Early Intervention Provider Agency | 719 Burks Branch Road, Shelbyville, KY 40065 | 2007-06-13 |
| 1194946368 | Joanna Sames | Pharmacist | 16 Village Plaza, Shelbyville, KY 40065 | 2007-05-02 |
| 1033298922 | Robyn A Keeling | Dentist | 502 Mount Eden Rd, Shelbyville, KY 40065 | 2006-11-03 |
| Find all providers in zip 40065 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467456855 | Mark A Myers | Orthopaedic Surgery | 1741 Midland Trl, Shelbyville, KY 40065-1711 | 2005-06-13 |
| 1780665174 | John T Mahan | Orthopaedic Surgery | 1741 Midland Trl, Shelbyville, KY 40065-1711 | 2005-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902225386 | Jonathan A. Kark | Orthopaedic Surgery | Uk Orthopedic Surgery and Sports Medicine Clinic, 125 E Maxwell Ste 201, Lexington, KY 40508-2678 | 2014-04-14 |
| 1982879607 | Jeffrey Lynn Gum | Orthopaedic Surgery | 210 East Gray Street, Louisville, KY 40202-1902 | 2008-04-23 |
| 1740391473 | Mark L. Crawford | Orthopaedic Surgery | 1333 Lone Oak Rd, Paducah, KY 42003-5092 | 2006-08-31 |
| 1891805982 | Robert Paul Knetsche | Orthopaedic Surgery | 236 W Main St, Suite 202, Danville, KY 40422-1876 | 2006-08-30 |
| 1518967371 | Michael Thomas Casnellie | Orthopaedic Surgery | 3615 Newburg Rd, Louisville, KY 40218-3368 | 2005-07-22 |
| 1316942006 | David P Rouben | Orthopaedic Surgery | 8620 Biggin Hill Ln, Louisville, KY 40220 | 2005-06-17 |
| 1073133054 | Joseph Laratta Md Spine Surgeon, LLC | Orthopaedic Surgery | 1169 Eastern Pkwy Ste 400, Louisville, KY 40217-1412 | 2020-04-20 |
| 1760995443 | David P Rouben Md Psc | Orthopaedic Surgery | 8620 Biggin Hill Ln, Louisville, KY 40220 | 2017-11-16 |
| 1821507005 | Mikhail Lew Perez Ver | Orthopaedic Surgery | 210 E Gray St Ste 900, Louisville, KY 40202-3905 | 2017-09-20 |
| 1942651237 | Third Street Surgical Center | Orthopaedic Surgery | 236 W Main St Ste 202, Danville, KY 40422-1876 | 2016-06-28 |
| Find all providers with the same taxonomy | ||||
| City | SHELBYVILLE |
| Zip Code | 40065 |
Please comment or provide details below to improve the information on BLUEGRASS SPINE CARE, 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.