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BLUEGRASS DERMATOLOGY
NPI 1609924018
Dermatology - MOHS-Micrographic Surgery in Lexington, KY

Active since January 08, 2007CLIA 18D0929832 · Certificate of Compliance
3475 RICHMOND RD, SUITE 200, LEXINGTON, KY 40509(859) 296-4400(859) 296-4300 Get Directions Write a Review

NPPES record last updated: June 12, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bluegrass Dermatology NPPES

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

BLUEGRASS DERMATOLOGY (NPI 1609924018) is a healthcare organization registered as a mohs-micrographic surgery in Lexington, Kentucky and active in the NPI registry since January 2007. The organization holds a CLIA Certificate of Compliance certificate valid through September 30, 2027 and lists John L Buker, Medical Advisor, as its authorized official.

NPPES Registry Identity

NPI1609924018
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameBUKER OFFICE BASED SURGERY, PLLC
Location Address3475 RICHMOND RD, SUITE 200Lexington, KY 40509-2500
Mailing Address3475 Richmond Rd, Suite 200Lexington, KY 40509-2500 · (859) 296-4400 · Fax (859) 296-4300
Phone(859) 296-4400
Fax(859) 296-4300
Organization SubpartNo
Authorized OfficialJohn L BukerMedical Advisor · (859) 296-4400
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJune 12, 2008
✔ NPI 1609924018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

3475 RICHMOND RD, Lexington, KY 40509
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Other Names 1

Other NameBluegrass Dermatology

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 Compliance 18D0929832

Bluegrass Dermatology Skin Surgery Psc · Lexington, KY
Active · expires Sep 30, 2027
CLIA Number18D0929832
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorDr. Carol B. Thompson
Laboratory Phone(859) 296-4400
Laboratory LocationBluegrass Dermatology Skin Surgery Psc3475 Richmond Rd, Ste 200, Lexington, KY 40509
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 13

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

DR. PATRICIA H. BUKER M.D.
Family Medicine
3475 RICHMOND RD, STE 200
LEXINGTON, KY 40509
Fayette County (859) 296-4400
DR. DONNA E ROTH M.D.
Dermatology
3475 RICHMOND RD, STE 200
LEXINGTON, KY 40509
Fayette County (859) 296-4400
DIAGNOSTIC RADIOLOGY SYSTEMS INC
Clinic/Center (Radiology, Mobile)
3475 RICHMOND RD, SUITE 150
LEXINGTON, KY 40509
Fayette County (859) 275-2100
DR. DANA BLACK M.D.
Dermatology
3475 RICHMOND RD, SUITE 200
LEXINGTON, KY 40509
Fayette County (859) 296-4400
KENTUCKY IMAGING GROUP
Clinic/Center (Radiology)
3475 RICHMOND RD, SUITE #150
LEXINGTON, KY 40509
Fayette County (859) 275-2100
DANELLE OWENS PA-C
Physician Assistant
3475 RICHMOND RD, SUITE 200
LEXINGTON, KY 40509
Fayette County (859) 296-4400
JOHN L. BUKER, M.D., PSC
Dermatology
3475 RICHMOND RD, SUITE 200
LEXINGTON, KY 40509
Fayette County (859) 296-4400
BLUEGRASS DENTISTRY
Dentist (General Practice)
3475 RICHMOND RD, SUITE 100
LEXINGTON, KY 40509
Fayette County (859) 543-0505

Frequently Asked Questions

What is BUKER OFFICE BASED SURGERY, PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1609924018, enumerated as an "organization" on January 08, 2007.

Where is the provider located?

The provider is located at 3475 RICHMOND RD SUITE 200 LEXINGTON, KY 40509 and the phone number is (859) 296-4400.

What is the provider's specialty?

Dermatology with taxonomy code 207ND0101X and a focus in MOHS-Micrographic Surgery.