BLUEGRASS CARDIOLOGY PSC NPI 1003037375

Internal Medicine (Cardiovascular Disease) in Irvine, KY

NPI 1003037375 Organization Internal Medicine Cardiovascular Disease

About BLUEGRASS CARDIOLOGY PSC

Bluegrass Cardiology Psc is an internal medicine provider established in Irvine, Kentucky specializing in internal medicine (cardiovascular disease) . The NPI number of Bluegrass Cardiology Psc is 1003037375 and was assigned on May 2007. The practitioner's primary taxonomy code is 207RC0000X with license number 02196 (KY). The provider is registered as an organization and their NPI record was last updated 14 years ago. Bluegrass Cardiology Psc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Glenn T Morris Do (Corp President)

An internist like Bluegrass Cardiology Psc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

NPI

1003037375

Provider NameBLUEGRASS CARDIOLOGY PSC
Provider Location Address60 MERCY COURT IRVINE, KY 40336
Provider Mailing Address793 EASTERN BYPASS SUITE 106 RICHMOND, KY 40475
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-02-2007
Last Update Date02-21-2008


Primary Taxonomy

Taxonomy Code207RC0000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationCardiovascular Disease
License No.02196
License StateKY
Taxonomy DescriptionAn internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Business Address

BLUEGRASS CARDIOLOGY PSC
60 MERCY COURT
IRVINE, KY
ZIP 40336
Phone: (859) 624-1826
Fax: (859) 624-1744

Get Directions


Mailing Address

BLUEGRASS CARDIOLOGY PSC
793 EASTERN BYPASS
SUITE 106
RICHMOND, KY
ZIP 40475
Phone:



Authorized Official

Authorized Official NameDR. GLENN T MORRIS DO
Authorized Official TitleCORP PRESIDENT
Authorized Official Phone(859) 624-1826

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
000000050520OTHER (01)KY
65931958MEDICAID (05)KY
8588MEDICARE PIN (08)KY
CG1685OTHER (01)KY
E66406MEDICARE UPIN (02)

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.