| Bluegrass Podiatric Management Llc | |
|
9800 Shelbyville Rd Ste 202, Louisville, KY 40223-5440 | |
| (502) 536-7224 | |
| (888) 419-6943 |
| Full Name | Bluegrass Podiatric Management Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 9800 Shelbyville Rd Ste 202, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720477672 | NPI | - | NPPES |
| 7100335760 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Steven R Shlonsky |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366542748 PECOS PAC ID: 2860407277 Enrollment ID: I20060207000178 |
| Provider Name | Larry K Ketcherside |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083907471 PECOS PAC ID: 3678741717 Enrollment ID: I20110715000645 |
| Provider Name | Joshua Lee Hill |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093025504 PECOS PAC ID: 8123266806 Enrollment ID: I20130608000109 |
| Provider Name | Jonathan Michael Towarnicki |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1497043806 PECOS PAC ID: 7012133283 Enrollment ID: I20140723002812 |
| Provider Name | Nicholas E Vogelsang |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1184939035 PECOS PAC ID: 8729227657 Enrollment ID: I20210615003034 |
| Provider Name | Andrea Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326652751 PECOS PAC ID: 4789003260 Enrollment ID: I20220601002582 |
| Mailing Address | Practice Location Address |
|---|---|
| Bluegrass Podiatric Management Llc 178 N Ewing Ave, Louisville, KY 40206-2459 Ph: (502) 554-3792 | Bluegrass Podiatric Management Llc 9800 Shelbyville Rd Ste 202, Louisville, KY 40223-5440 Ph: (502) 536-7224 |
Dr. Thomas Wayne Childress Jr., D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3 Audubon Plaza Dr, Suite 320, Louisville, KY 40217 Phone: 502-893-1844 | |
Mrs. Melissa Ann Dorsett, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3430 Newburg Rd, Ste 153, Louisville, KY 40218 Phone: 502-459-8127 Fax: 502-459-8620 | |
Andrew R Bouwkamp, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3901 Dutchmans Ln Ste 104, Louisville, KY 40207 Phone: 502-496-4914 Fax: 502-459-7509 | |
Podiatric Physicians Of Kentucky, Psc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 9110 Leesgate Road, Louisville, KY 40222 Phone: 502-426-7222 Fax: 502-425-8226 | |
Makenzie Lynn Kerns, Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7397 Jefferson Blvd, Louisville, KY 40219 Phone: 502-968-2233 Fax: 502-968-2283 | |
Dr. Joshua Coger, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6641 Dixie Hwy, Louisville, KY 40258 Phone: 502-364-0902 | |
Dr. Rhonda A Eichenberger, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9900 Shelbyville Rd Ste 11a, Louisville, KY 40223 Phone: 502-899-9771 Fax: 502-899-9772 |