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GASTROENTEROLOGY AND HEPATOLOGY OF THE BLUEGRASS
NPI 1164867883
Internal Medicine - Gastroenterology in Georgetown, KY

Active since May 08, 2013CLIA 18D2151317 · Waiver
1138 LEXINGTON RD, SUITE 140, GEORGETOWN, KY 40324(502) 570-3721(502) 570-3722 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2020, Mar 20, 2019 (2 updates tracked since 2019).

About Gastroenterology And Hepatology Of The Bluegrass NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GASTROENTEROLOGY AND HEPATOLOGY OF THE BLUEGRASS (NPI 1164867883) is a healthcare organization registered as a gastroenterology in Georgetown, Kentucky and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through October 30, 2027, maintains a secondary practice location in Winchester, and lists Monica Bowman, Corporate Secretary, as its authorized official.

NPPES Registry Identity

NPI1164867883
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameKENTUCKY MSO LLC
Location Address1138 LEXINGTON RD, SUITE 140Georgetown, KY 40324-9672
Mailing Address1138 Lexington Rd, Suite 140Georgetown, KY 40324-9672 · (502) 570-3721 · Fax (502) 570-3722
Phone(502) 570-3721
Fax(502) 570-3722
Organization SubpartNo
Authorized OfficialMonica BowmanCorporate Secretary · (615) 920-7000
Enumeration DateMay 8, 2013
Last NPPES UpdateApril 21, 20232 updates tracked since enumeration
NPPES CertifiedApril 21, 2023
✔ NPI 1164867883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1138 LEXINGTON RD, Georgetown, KY 40324
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Other Names 1

Doing Business AsGastroenterology And Hepatology Of The Bluegrass

Secondary Practice Location 1

Location 1138 Professional AveWinchester, KY 40391-1116 · Phone (505) 570-3751 · Fax (505) 570-3722

Group Practice 1

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2151317

Gastroenterology And Hepatology Of The Bluegrass · Georgetown, KY
Active · expires Oct 30, 2027
CLIA Number18D2151317
Laboratory TypePhysician Office
Certificate Effective DateOctober 31, 2025
Certificate Expiration DateOctober 30, 2027
Laboratory DirectorDr. Justin Case
Laboratory Phone(502) 570-3782
Laboratory LocationGastroenterology And Hepatology Of The Bluegrass1138 Lexington Rd, Suite 140, Georgetown, KY 40324
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRACY ANNE ROBINSON PA-C
Physician Assistant
1138 LEXINGTON RD
GEORGETOWN, KY 40324
Scott County (502) 867-6744
DR. MATTHEW C BIRDWHISTELL D.O.
Internal Medicine
1138 LEXINGTON RD, SUITE 290
GEORGETOWN, KY 40324
Scott County (502) 863-0721
RAYMOND WECHMAN JR. MD
Family Medicine
1138 LEXINGTON RD, STE 130
GEORGETOWN, KY 40324
Scott County (502) 867-0222
MATTHEW C BIRDWHISTELL DO LLC
Internal Medicine
1138 LEXINGTON RD, SUITE 290
GEORGETOWN, KY 40324
Scott County (502) 863-0721
LEXINGTON FOOT & ANKLE CENTER PSC
Podiatrist (Foot & Ankle Surgery)
1138 LEXINGTON RD, SUITE 210
GEORGETOWN, KY 40324
Scott County (859) 278-8855
ROBERT CRAIG MARTIN M.D.
Internal Medicine
1138 LEXINGTON RD, SUITE 290
GEORGETOWN, KY 40324
Scott County (502) 863-0721
KRISTEN R STAKELIN M.D.
Internal Medicine
1138 LEXINGTON RD, STE 290
GEORGETOWN, KY 40324
Scott County (502) 863-0721
R. CRAIG MARTIN, M.D., P.S.C.
Internal Medicine
1138 LEXINGTON RD, SUITE 290
GEORGETOWN, KY 40324
Scott County (502) 863-0721

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kentucky Mso LLC's NPI number?

The NPI number for Kentucky Mso LLC is 1164867883. It was assigned to this organization in the NPPES registry on May 8, 2013. The provider is doing business as Gastroenterology And Hepatology Of The Bluegrass.

Where is Kentucky Mso LLC located?

Kentucky Mso LLC is located at 1138 Lexington Rd Suite 140, Georgetown, KY 40324. The listed phone number is (502) 570-3721.

What is Kentucky Mso LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Kentucky Mso LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2151317) is associated with this NPI, valid through October 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kentucky Mso LLC was last updated on April 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.