BLUEGRASS REGIONAL IMAGING LLC (NPI# 1669636486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669636486 |
| Entity Type | Organization |
| Organization Name | BLUEGRASS REGIONAL IMAGING LLC |
| Practice Address |
1401 Harrodsburg Rd C45 Lexington KY 40504-3751 |
| Mailing Address |
1218 S Broadway Ste 310 Lexington KY 40504-2759 |
| Practice Telephone | 8592762157 |
| Practice Fax Number | 8592764938 |
| Mailing Telephone | 8592190542 |
| Mailing Fax Number | 8592199433 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2014-03-05 |
| Authorized Official Name | DR. JON K KOSTELIC (MEMBER) |
| Authorized Official Telephone | 8592190542 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM | 000000219100 | 01 |
| KY | 65935207 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417110842 | Bluegrass Regional Imaging LLC | Radiology | 211 Fountain Ct, Suite 140, Lexington, KY 40509-1888 | 2008-07-07 |
| 1871542670 | Bluegrass Regional Imaging LLC | Radiology | 701 Bob O Link Dr, Suite 245, Lexington, KY 40504-3761 | 2006-05-09 |
| Street Address |
1401 HARRODSBURG RD C45 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40504-3751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021803 | Patrick K Leung | Psychiatry & Neurology | 1401 Harrodsburg Rd, Ste C225, Lexington, KY 40504-3751 | 2005-05-24 |
| 1174050801 | Jessica N Carty | Nurse Practitioner | 1401 Harrodsburg Rd, C335, Lexington, KY 40504-3751 | 2017-05-12 |
| 1861943029 | Amy Claunch | Nurse Practitioner | 1401 Harrodsburg Rd, C335, Lexington, KY 40504-3751 | 2016-10-21 |
| 1942657598 | Healthpoint Family Care, Inc. | Clinic/Center | 1401 Harrodsburg Rd, Suite 5-a, Lexington, KY 40504-3751 | 2016-05-24 |
| 1114386737 | Jenna Auxier | Counselor | 1401 Harrodsburg Rd, Lexington, KY 40504-3751 | 2016-02-11 |
| 1699147785 | Saint Joseph Health System Inc. | General Acute Care Hospital | 1401 Harrodsburg Rd, Suite A-480, Lexington, KY 40504-3751 | 2015-10-28 |
| 1255703336 | Angela S Shepherd | Physician Assistant | 1401 Harrodsburg Rd, Suite C-100, Lexington, KY 40504-3751 | 2015-10-28 |
| 1831572569 | Bryan Richard Tompkins | Physician Assistant | 1401 Harrodsburg Rd, Suite A-540, Lexington, KY 40504-3751 | 2015-06-30 |
| 1275925547 | Adam J Wilson | Nurse Practitioner | 1401 Harrodsburg Rd, A300, Lexington, KY 40504-3751 | 2015-02-24 |
| 1225427388 | Russell P Crawford | Nurse Practitioner | 1401 Harrodsburg Rd, Suite A-300, Lexington, KY 40504-3751 | 2015-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809953 | Michael Jason Blocker | Registered Nurse | 1 St Hoseph Drive, Lexington, KY 40504 | 2020-04-09 |
| 1841842010 | Jessica Brooke Castleberry | Counselor | Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 | 2019-07-09 |
| 1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
| 1366962474 | Jessica Hope King | Dentist | 1330 Harrodsburg Road, Lexington, KY 40504 | 2017-06-21 |
| 1255861076 | Mary Elizabeth Bailey | Dentist | 1330 Harrodsburg Rd, Lexington, KY 40504 | 2017-06-14 |
| 1295172211 | Alan Kidon | Podiatrist | 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 | 2013-05-31 |
| 1578847554 | Linda W Mcdaniel | Pharmacist | 2181 Harrodsburg Road, Lexington, KY 40504 | 2011-10-07 |
| 1578844197 | Amber Kincaid Ballard | Nurse Practitioner | Uk Healthcare Team Blue Primary Care Clinic, 2400 Great Stone Point, Lexington, KY 40504 | 2011-09-09 |
| 1104118124 | Harry W Tenfelde IIi | Pharmacist | 2284 Versailles Rd., Lexington, KY 40504 | 2011-05-10 |
| 1831495506 | Horizon Headache Center, Pllc | Physical Therapist | 2365 Harrodsburg Road, Suite B-100, Lexington, KY 40504 | 2011-01-28 |
| Find all providers in zip 40504 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174037949 | Justin Byron Hall | Radiology | 3452 Milam Ln, Lexington, KY 40502-3652 | 2017-11-30 |
| 1750731048 | Brent A Pressman | Radiology | 800 Rose St Rm Hx-315, Lexington, KY 40536-1227 | 2016-06-16 |
| 1952783672 | Harit Kapoor | Radiology | 800 Rose St Rm No, Lexington, KY 40536-4818 | 2015-06-19 |
| 1003159047 | Gilroy Lane Daley Sr. | Radiology | 3111 Maria Drive, Lexington, KY 40516 | 2013-03-28 |
| 1629336573 | Chad Herman Barker | Radiology | Uk-gme, 800 Rose Street, Room Hq-101, Lexington, KY 40536-0001 | 2012-04-29 |
| 1194010561 | Aaron David Fain | Radiology | Ukmc Department of Radiology, 800 Rose Street, Lexington, KY 40536-0001 | 2011-06-14 |
| 1790077113 | Sarah Milam Deraney | Radiology | 800 Rose St # Hx316, Lexington, KY 40536-0001 | 2011-05-03 |
| 1851529424 | Miguel Alexis Pereira Rodriguez | Radiology | 800 Rose St # Hx315e, Lexington, KY 40536-0293 | 2009-06-23 |
| 1588810451 | Gaby Gabriel | Radiology | 800 Rose St Rm Hx-311, Lexington, KY 40536-0293 | 2008-08-12 |
| 1730343674 | Stephen Hobbs | Radiology | 800 Rose St Rm Hx302, University of Kentucky Hospital, Lexington, KY 40536-0001 | 2008-07-10 |
| Find all providers in LEXINGTON | ||||
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| 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.