BLUEGRASS MEDICAL CLINIC PLLC – NPI #1902910722
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

BLUEGRASS MEDICAL CLINIC PLLC is a provider located in PARIS, KY. NPPES has assigned the NPI number 1902910722 to BLUEGRASS MEDICAL CLINIC PLLC on August 18, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 12 years ago on Dec 18, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUEGRASS MEDICAL CLINIC PLLC below.

NPI Profile for
BLUEGRASS MEDICAL CLINIC PLLC

NPI Number
1902910722
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLUEGRASS MEDICAL CLINIC PLLC
Primary location
22 CLINIC DR
PARIS, KY 40361
Phone: (859) 987-0074 Fax: (859) 987-0098
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NATHAN MOORE
PARTNER BLUEGRASS MEDICAL CLINIC PL
Phone: (859) 987-0074
Updated
Identifiers

Identifiers for BLUEGRASS MEDICAL CLINIC PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDKY65906455
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
363A00000X
- Physician Assistant

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.