GASTROENTEROLOGY AND HEPATOLOGY OF THE BLUEGRASS
NPI 1164867883
Internal Medicine - Gastroenterology in Georgetown, KY
NPI Status: Active since May 08, 2013
Contact Information
1138 LEXINGTON RD
SUITE 140
GEORGETOWN, KY
ZIP 40324
Phone: (502) 570-3721
Fax: (502) 570-3722
- Organization
- Internal Medicine
- Gastroenterology
- CLIA Number: 18D2151317
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-30-2027
About GASTROENTEROLOGY AND HEPATOLOGY OF THE BLUEGRASS
This page provides the complete NPI Profile along with additional information for Gastroenterology And Hepatology Of The Bluegrass, an internist established in Georgetown, Kentucky operating as a Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1164867883 assigned on May 2013. The practitioner's primary taxonomy code is 207RG0100X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Gastroenterology And Hepatology Of The Bluegrass operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Gastroenterology And Hepatology Of The Bluegrass. The authorized official of this NPI record is Monica Bowman (Corporate Secretary)
- NPI
- 1164867883
- Provider Legal Name
- KENTUCKY MSO LLC
- Other Organization Name
- GASTROENTEROLOGY AND HEPATOLOGY OF THE BLUEGRASS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1138 LEXINGTON RD SUITE 140 GEORGETOWN, KY 40324
- Location Phone
- (502) 570-3721
- Location Fax
- (502) 570-3722
- Mailing Address
- 1138 LEXINGTON RD SUITE 140 GEORGETOWN, KY 40324
- Mailing Phone
- (502) 570-3721
- Mailing Fax
- (502) 570-3722
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-08-2013
- Last Update Date
- 04-21-2023
- Code Navigator
An internist like Gastroenterology And Hepatology Of The Bluegrass 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.
Location Map
Secondary Locations
- 138 Professional Ave
Winchester, KY 40391
(505) 570-3751
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Gastroenterology
- Taxonomy Code
- 207RG0100X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 3 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 4 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 18D2151317
- Facility Type
- Physician Office
- Certificate Effective Date
- October 31, 2025
- Certificate Expiration Date
- October 30, 2027
- Laboratory Director
- DR. JUSTIN CASE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Gastroenterology And Hepatology Of The Bluegrass to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1164867883, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
GEORGETOWN, KY 40324
GEORGETOWN, KY 40324
GEORGETOWN, KY 40324
GEORGETOWN, KY 40324
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164867883, enumerated as an "organization" on May 08, 2013.
The provider is located at 1138 LEXINGTON RD SUITE 140 GEORGETOWN, KY 40324 and the phone number is (502) 570-3721.
Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.
