BLUEGRASS GASTROENTEROLOGY, PSC – NPI #1770643561
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Health Care Provider Taxonomy Code for Internal Medicine

BLUEGRASS GASTROENTEROLOGY, PSC is a provider located in PADUCAH, KY. NPPES has assigned the NPI number 1770643561 to BLUEGRASS GASTROENTEROLOGY, PSC on December 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 18 years ago on Feb 20, 2008. 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 GASTROENTEROLOGY, PSC below.

NPI Profile for
BLUEGRASS GASTROENTEROLOGY, PSC

NPI Number
1770643561
Enumeration Date

(more than 19 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 GASTROENTEROLOGY, PSC
Primary location
225 MEDICAL CENTER DR
SUITE 307
PADUCAH, KY 42003-7914
Phone: (270) 441-4701 Fax: (270) 441-4707
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RUSSELL CARTER
PRESIDENT
Phone: (270) 441-4701
Updated
Identifiers

Identifiers for BLUEGRASS GASTROENTEROLOGY, PSC

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
MEDICAIDKY65928459
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
207RG0100X
- Internal Medicine / Gastroenterology (Primary)

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.