UNIVERSITY KIDNEY CENTER BLUEGRASS LLC (NPI# 1790118842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790118842 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY KIDNEY CENTER BLUEGRASS LLC |
| Practice Address |
1935 Bluegrass Ave Suite 100 Louisville KY 40215-1191 |
| Practice Telephone | 5023685843 |
| Practice Fax Number | 5023685846 |
| Mailing Telephone | 5023685843 |
| Mailing Fax Number | 5023685846 |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2020-03-10 |
| Authorized Official Name | MRS. SHARI COUSINS (SR. VP OF CLINICAL & REGULATORY) |
| Authorized Official Telephone | 9789223080 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Street Address |
1935 BLUEGRASS AVE SUITE 100 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40215-1191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730182221 | John Andrew Millin | Ophthalmology | 1935 Bluegrass Ave, Suite 200, Louisville, KY 40215-1179 | 2005-05-27 |
| 1740832500 | Kelley Elizabeth Sedlock | Optometrist | 1935 Bluegrass Ave, Louisville, KY 40215-1179 | 2019-07-11 |
| 1083092126 | Nikolaos Christos Zagorianos | Optometrist | 1935 Bluegrass Ave, Suite 200, Louisville, KY 40215-1179 | 2015-05-08 |
| 1447668058 | Fraser Douglas Mckay | Optometrist | 1935 Bluegrass Ave, Suite 200, Louisville, KY 40215-1179 | 2014-07-28 |
| 1770838732 | Ian W Mcwherter | Optometrist | 1935 Bluegrass Ave, Louisville, KY 40215-1179 | 2012-07-16 |
| 1124290408 | Dina A English | Counselor | 1935 Bluegrass Ave, Louisville, KY 40215-1145 | 2008-03-27 |
| 1023207859 | Lawrence Tenkman | Ophthalmology | 1935 Bluegrass Ave, Suite 200, Louisville, KY 40215-1179 | 2007-10-17 |
| 1437346731 | Theodore Luckey | Counselor | 1935 Bluegrass Ave, Louisville, KY 40215-1145 | 2007-10-01 |
| 1952598252 | James Wickliffe | Counselor | 1935 Bluegrass Ave, Louisville, KY 40215-1145 | 2007-10-01 |
| 1891900189 | Nikolaos Trichopoulos | Ophthalmology | 1935 Bluegrass Ave, Suite 200, Louisville, KY 40215-1179 | 2007-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417473315 | Robin Jones | Behavioral Analyst | 800 W. Woodlawn Ave, Louisville, KY 40215 | 2017-08-22 |
| 1316332448 | Christopher Fenzel | Emergency Medicine | 1850 Bluegrass Avenue, Louisville, KY 40215 | 2015-04-06 |
| 1447661210 | Khac Phuong Vu | Dentist | 3448 Taylor Boulevard, Louisville, KY 40215 | 2014-05-15 |
| 1619251238 | Scott H Kaminsky | Marriage & Family Therapist | 3535 Taylor Blvd, Louisville, KY 40215 | 2011-09-30 |
| 1821313529 | Taylor Blvd Chiropractic | Chiropractor | 3254 Taylor Blvd, Louisville, KY 40215 | 2010-04-06 |
| 1396985131 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4419 Lasalle Ave, Louisville, KY 40215 | 2009-03-05 |
| 1841448735 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4418 Malcolm Ave., Louisville, KY 40215 | 2008-09-04 |
| 1235329400 | Thad R. Schulten Psc | Dentist | 4515 Churchman Ave., Louisville, KY 40215 | 2007-07-25 |
| 1801911680 | Timothy John Lutes | Dentist | 3205 Taylor Blvd, Louisville, KY 40215 | 2007-03-20 |
| 1063557346 | Louisville-jefferson County Metro Government | Public Health or Welfare | 4255 Hazelwood Avenue, Louisville, KY 40215 | 2007-02-21 |
| Find all providers in zip 40215 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000232 | Fresenius Medical Care Kentuckiana Ht, LLC | Clinic/Center | 6400 Dutchmans Pkwy Ste 145, Louisville, KY 40205-3342 | 2020-10-09 |
| 1659988970 | Dialyze Direct Ky, LLC | Clinic/Center | 9780 Ormsby Station Rd Ste 1200, Louisville, KY 40223-4049 | 2020-09-30 |
| 1629602727 | Pure Life Renal of Louisville, LLC | Clinic/Center | 3935 Taylorsville Rd, Louisville, KY 40220-1455 | 2020-02-27 |
| 1093213902 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 1715 Gagel Ave, Louisville, KY 40216-2763 | 2018-01-25 |
| 1386038040 | Lufield Dialysis LLC | Clinic/Center | 2118 Portland Ave, Louisville, KY 40212-1032 | 2015-03-20 |
| 1871927293 | University Kidney Center Broadway LLC | Clinic/Center | 2821 West Broadway, Louisville, KY 40211-1218 | 2013-08-22 |
| 1649603705 | University Kidney Center Hikes Lane LLC | Clinic/Center | 2271 Hikes Ln, Louisville, KY 40218-2203 | 2013-08-13 |
| 1497048342 | Sugarite Dialysis LLC | Clinic/Center | 4600 Shelbyville Rd Ste 310, Louisville, KY 40207-2391 | 2011-05-25 |
| 1871720763 | James More | Clinic/Center | 2149 Goldsmith Ln, Louisville, KY 40218-1219 | 2009-06-17 |
| 1386878502 | Louisville Dialysis Clinic LLC | Clinic/Center | 817 Peachtree St, Louisville, GA 30434-1449 | 2009-05-04 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40215 |
Please comment or provide details below to improve the information on UNIVERSITY KIDNEY CENTER BLUEGRASS LLC.
| 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.