| Bluegrass Orthopaedics Psc | |
|
3480 Yorkshire Medical Park, Lexington, KY 40509 | |
| (859) 263-5140 | |
| (859) 263-5141 |
| Full Name | Bluegrass Orthopaedics Psc |
|---|---|
| Type | Facility |
| Speciality | Orthopaedic Surgery |
| Location | 3480 Yorkshire Medical Park, Lexington, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447622394 | NPI | - | NPPES |
| 7100391610 | Medicaid | KY | |
| 7100442680 | Other | KY | MEDICAID DME |
| 7100459980 | Medicaid | KY | |
| 7100462920 | Medicaid | KY | |
| 7100462960 | Medicaid | KY | |
| 7100552560 | Medicaid | KY | |
| 7100391600 | Medicaid | KY |
| Provider Name | Christian P Christensen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457387854 PECOS PAC ID: 3375531296 Enrollment ID: I20040430001199 |
| Provider Name | Jason S Harrod |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245256270 PECOS PAC ID: 6800884503 Enrollment ID: I20040503000722 |
| Provider Name | David P Duff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306931860 PECOS PAC ID: 5890760631 Enrollment ID: I20040826000653 |
| Provider Name | Rita Brown |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548255227 PECOS PAC ID: 7719944743 Enrollment ID: I20050614000767 |
| Provider Name | Tracy Jane Keenoy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952401077 PECOS PAC ID: 6305872953 Enrollment ID: I20050714000554 |
| Provider Name | Robert James Pruden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962594507 PECOS PAC ID: 6103852777 Enrollment ID: I20050714000668 |
| Provider Name | Karen Anne Clark |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841286127 PECOS PAC ID: 9335177385 Enrollment ID: I20050801000162 |
| Provider Name | Theresa L Hobson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346341104 PECOS PAC ID: 9537185426 Enrollment ID: I20051020000211 |
| Provider Name | Juan M Favetto |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942294236 PECOS PAC ID: 0446226575 Enrollment ID: I20051114000938 |
| Provider Name | William L Oneill |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851385140 PECOS PAC ID: 7012982028 Enrollment ID: I20051114000972 |
| Provider Name | Laura C Schrader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255325163 PECOS PAC ID: 3577575521 Enrollment ID: I20060613000025 |
| Provider Name | Travis A Hunt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780635672 PECOS PAC ID: 4981601879 Enrollment ID: I20061108000090 |
| Provider Name | Wallace L Huff |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184619314 PECOS PAC ID: 1254438203 Enrollment ID: I20070525000406 |
| Provider Name | Michelle Annette Mccallum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144295759 PECOS PAC ID: 9234146283 Enrollment ID: I20070810000631 |
| Provider Name | David D Escobar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013003029 PECOS PAC ID: 8426154113 Enrollment ID: I20071030000525 |
| Provider Name | Charles E Crouse |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518131549 PECOS PAC ID: 4284709262 Enrollment ID: I20080827000014 |
| Provider Name | Evan M Hall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144359217 PECOS PAC ID: 0547300758 Enrollment ID: I20091221000071 |
| Provider Name | Gregory L D Angelo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144280645 PECOS PAC ID: 8729122130 Enrollment ID: I20100224000120 |
| Provider Name | Harry Lockstadt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962471532 PECOS PAC ID: 1052456415 Enrollment ID: I20100310000211 |
| Provider Name | Veronica A Vasicek |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053380246 PECOS PAC ID: 0244366110 Enrollment ID: I20100330000829 |
| Provider Name | Norman H Ellingsen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558330001 PECOS PAC ID: 2466580766 Enrollment ID: I20100506000770 |
| Provider Name | Kelly M Green |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912215229 PECOS PAC ID: 9739369943 Enrollment ID: I20110204000652 |
| Provider Name | Erin L Vanzanten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831463629 PECOS PAC ID: 1153578513 Enrollment ID: I20120821000283 |
| Provider Name | Robert Anthony Sellin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407847262 PECOS PAC ID: 7416949276 Enrollment ID: I20130510000315 |
| Provider Name | Ryan Patrick Donegan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073610556 PECOS PAC ID: 5698924850 Enrollment ID: I20130815000533 |
| Provider Name | Christopher Bagbey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063887818 PECOS PAC ID: 8325343072 Enrollment ID: I20160218000672 |
| Provider Name | Kevin M Denehy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093064586 PECOS PAC ID: 7416222963 Enrollment ID: I20171009002820 |
| Provider Name | Lee Alexander Preston |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841772142 PECOS PAC ID: 3779834783 Enrollment ID: I20181001001379 |
| Provider Name | Elizabeth Ellis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750664967 PECOS PAC ID: 7113255167 Enrollment ID: I20190828003543 |
| Provider Name | Owen Patrick Mcgonigle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669792156 PECOS PAC ID: 5395056683 Enrollment ID: I20190828004041 |
| Provider Name | Catherine Alexandra Sefcovic |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952843039 PECOS PAC ID: 1456680834 Enrollment ID: I20190910002730 |
| Provider Name | Joshua Anthony Hayden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871153833 PECOS PAC ID: 5092045757 Enrollment ID: I20190923001668 |
| Provider Name | Jo Anna Hartman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033164777 PECOS PAC ID: 0042200529 Enrollment ID: I20200403002755 |
| Provider Name | Craig Scott Moberley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386245066 PECOS PAC ID: 9234540246 Enrollment ID: I20201124000768 |
| Provider Name | Matthew David Angle |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942964804 PECOS PAC ID: 6103214523 Enrollment ID: I20211103002535 |
| Provider Name | Kristofer M Kendrick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891055059 PECOS PAC ID: 5294983060 Enrollment ID: I20220503002307 |
| Provider Name | Ashley Nicole Cummings |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841953973 PECOS PAC ID: 3870970155 Enrollment ID: I20220509000539 |
| Provider Name | Graysen Robert Petersen-fitts |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033560032 PECOS PAC ID: 0941543458 Enrollment ID: I20220620001994 |
| Provider Name | Eric John Schafer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043669237 PECOS PAC ID: 5890055511 Enrollment ID: I20220629001062 |
| Provider Name | Victor Michael Marwin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528325735 PECOS PAC ID: 3173865557 Enrollment ID: I20220720000483 |
| Provider Name | Christian Wingert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942971072 PECOS PAC ID: 5991187411 Enrollment ID: I20220801000861 |
| Provider Name | Phyllis Diana Voynar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649435033 PECOS PAC ID: 1759765183 Enrollment ID: I20220901003125 |
| Provider Name | Zachary Walton Major |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386356723 PECOS PAC ID: 0143690388 Enrollment ID: I20230103002733 |
| Provider Name | Bailey Dee Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619639622 PECOS PAC ID: 0345638243 Enrollment ID: I20230424001202 |
| Provider Name | Zachary Alan Blaydes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154164309 PECOS PAC ID: 6406387000 Enrollment ID: I20241007003902 |
| Provider Name | Michael Kempke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154396885 PECOS PAC ID: 5395880678 Enrollment ID: I20241010000085 |
| Provider Name | Logan Wells Allison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285478974 PECOS PAC ID: 2365974649 Enrollment ID: I20241010003871 |
| Provider Name | Caroline Husband |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831925973 PECOS PAC ID: 7416484050 Enrollment ID: I20241220002266 |
| Provider Name | Andrew Carter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134944713 PECOS PAC ID: 9739618190 Enrollment ID: I20250130000087 |
| Mailing Address | Practice Location Address |
|---|---|
| Bluegrass Orthopaedics Psc 3480 Yorkshire Medical Park, Lexington, KY 40509-1886 Ph: (859) 263-5140 | Bluegrass Orthopaedics Psc 3480 Yorkshire Medical Park, Lexington, KY 40509 Ph: (859) 263-5140 |