# BLUEGRASS MEDICAL ASSOCIATES PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316946429
- **Authorized official:** MR. JAMES GEORGE MD (PARTNER)
- **Authorized official phone:** (859) 223-2425

## Contact information

- **Practice address:** 210 MALABU DR, SUITE 212, LEXINGTON, KY 40502-3252
- **Practice address phone:** (859) 223-2425
- **Practice address fax:** (859) 224-8579
- **Mailing address:** 2301 RIVER RD, SUITE 300, LOUISVILLE, KY 40206-1010
- **Mailing address phone:** (502) 814-3175
- **Mailing address fax:** (502) 426-5493

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | KY | Yes |

## Other

- **Enumeration date:** 07/20/2005
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 65933087 | — | KY |
| 01 | — | CI922 | RAILROAD MEDICARE KY | KY |