Organization
BLUEGRASS GASTROENTEROLOGY, PSC
Active
Organization
BLUEGRASS GASTROENTEROLOGY, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL W CARTER D.O. (PRESIDENT)
(270) 441-4701
Entity
Organization
Contact information
Practice address
225 MEDICAL CENTER DR, SUITE 307, PADUCAH, KY 42003-7914
(270) 441-4701
(270) 441-4707
Mailing address
225 MEDICAL CENTER DR, SUITE 307, PADUCAH, KY 42003-7914
(270) 441-4701
(270) 441-4707
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65928459
—
KY
Enumeration date
12/11/2006
Last updated
02/20/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up