Bluegrass Pediatrics, Llc
Pediatrics
Bluegrass Pediatrics, Llc is a Paducah, Kentucky based Pediatric center with medical specialization in
General Pediatrics.
It is located at
242 Berger Rd, Paducah, Kentucky - 42003. They can be contacted on phone at
270-366-0960 and fax number 270-554-1108.
NPI number (Unique professional ID) for Bluegrass Pediatrics, Llc is
1427478700 which was assigned by NPPES on 24 Apr, 2014 and it was last updated on 08 Oct, 2019.
Bluegrass Pediatrics, Llc license number is
39216 for Pediatrics (208000000X) in Kentucky.
Bluegrass Pediatrics, Llc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Bluegrass Pediatrics, Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Bluegrass Pediatrics, Llc |
|---|
Business Address:
Bluegrass Pediatrics, Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 242 Berger Rd
Paducah, KY, 42003
United States |
|---|
| Phone Number : | 270-366-0960 |
|---|
| Fax Number : | 270-554-1108 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1427478700 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 24 Apr, 2014 |
|---|
| Last Updated On : | 08 Oct, 2019 |
|---|
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Robynb Anderson |
|---|
| Official Title or Position : | BILLING/CREDENTIALING MANAGER |
|---|
| Phone Number : | 270-366-0960 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bluegrass Pediatrics, Llc are as mentioned. Primary taxonomy code for Bluegrass Pediatrics, Llc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 363L00000X | Nurse Practitioner | No | 3007339 | KY |
| 208000000X | Pediatrics | Yes | 39216 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Bluegrass Pediatrics, Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1912270125 | Other | KY | NPI OLSON |
| 1164425831 | Other | KY | NPI ROACH |
| 7100483540 | MEDICAID | KY | |
| 7100225560 | Other | KY | OLSON'S MEDICAID # |
| 71004583540 | Other | KY | APRN GROUP MEDICAID # |
| 64095565 | Other | KY | ROACH MEDICAID # |
| 7100304720 | Other | KY | GROUP MEDICAID # |
| 1427478700 | Other | KY | NPI GROUP |
| 7100304720 | MEDICAID | KY | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
242 BERGER RD,
PADUCAH, KY, 42003
United States | PADUCAH, KY | 270-366-0960 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 242 Berger Rd
Paducah, KY, 42003-4522
United States |
|---|
| Phone Number : | 270-366-0960 |
|---|
| Fax Number : | 270-554-1108 |
|---|
Business Location:
Patients can refer following map for directions to
Bluegrass Pediatrics, Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.