BLUEGRASS DERMATOLOGY
NPI 1609924018
Dermatology - MOHS-Micrographic Surgery in Lexington, KY
NPI Status: Active since January 08, 2007
Contact Information
3475 RICHMOND RD
SUITE 200
LEXINGTON, KY
ZIP 40509
Phone: (859) 296-4400
Fax: (859) 296-4300
- Organization
- Dermatology
- MOHS-Micrographic Surgery
- CLIA Number: 18D0929832
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-30-2025
About BLUEGRASS DERMATOLOGY
This page provides the complete NPI Profile along with additional information for Bluegrass Dermatology, a provider established in Lexington, Kentucky operating as a Dermatology, focusing in mohs-micrographic surgery . The healthcare provider is registered in the NPI registry with number 1609924018 assigned on January 2007. The practitioner's primary taxonomy code is 207ND0101X. The provider is registered as an organization and their NPI record was last updated 17 years ago. Bluegrass Dermatology operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Bluegrass Dermatology. The authorized official of this NPI record is Dr. John L Buker M.d. (Medical Advisor)
- NPI
- 1609924018
- Provider Legal Name
- BUKER OFFICE BASED SURGERY, PLLC
- Other Organization Name
- BLUEGRASS DERMATOLOGY
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 3475 RICHMOND RD SUITE 200 LEXINGTON, KY 40509
- Location Phone
- (859) 296-4400
- Location Fax
- (859) 296-4300
- Mailing Address
- 3475 RICHMOND RD SUITE 200 LEXINGTON, KY 40509
- Mailing Phone
- (859) 296-4400
- Mailing Fax
- (859) 296-4300
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-08-2007
- Last Update Date
- 06-12-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology MOHS-Micrographic Surgery
- Taxonomy Code
- 207ND0101X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 18D0929832
- Facility Type
- Physician Office
- Certificate Effective Date
- October 01, 2023
- Certificate Expiration Date
- September 30, 2025
- Laboratory Director
- DR. CAROL B. THOMPSON
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Bluegrass Dermatology after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 0 | 9 | 9 | 2 | 4 | 0 | 1 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 18 | 2 | 8 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 1 + 8 + 2 + 8 + 0 + 2 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1609924018 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1922004993 | DR. PATRICIA H. BUKER M.D. Individual | Family Medicine | 3475 RICHMOND RD STE 200 LEXINGTON, KY 40509 (859) 296-4400 |
| 1518964758 | DR. DONNA E ROTH M.D. Individual | Dermatology | 3475 RICHMOND RD STE 200 LEXINGTON, KY 40509 (859) 296-4400 |
| 1700831559 | DIAGNOSTIC RADIOLOGY SYSTEMS INC Organization | Clinic/Center (Radiology, Mobile) | 3475 RICHMOND RD SUITE 150 LEXINGTON, KY 40509 (859) 275-2100 |
| 1033228069 | DR. DANA BLACK M.D. Individual | Dermatology | 3475 RICHMOND RD SUITE 200 LEXINGTON, KY 40509 (859) 296-4400 |
| 1992876981 | KENTUCKY IMAGING GROUP Organization | Clinic/Center (Radiology) | 3475 RICHMOND RD SUITE #150 LEXINGTON, KY 40509 (859) 275-2100 |
| 1124202825 | DANELLE OWENS PA-C Individual | Physician Assistant | 3475 RICHMOND RD SUITE 200 LEXINGTON, KY 40509 (859) 296-4400 |
| 1114197803 | JOHN L. BUKER, M.D., PSC Organization | Dermatology | 3475 RICHMOND RD SUITE 200 LEXINGTON, KY 40509 (859) 296-4400 |
| 1518131796 | BLUEGRASS DENTISTRY Organization | Dentist (General Practice) | 3475 RICHMOND RD SUITE 100 LEXINGTON, KY 40509 (859) 543-0505 |
| 1295068823 | DR. AMANDA JO JOHNSON DMD Individual | Dentist | 3475 RICHMOND RD SUITE 100 LEXINGTON, KY 40509 (859) 543-0505 |
| 1457355174 | DR. JOHN L BUKER M.D. Individual | Dermatology (MOHS-Micrographic Surgery) | 3475 RICHMOND RD STE 200 LEXINGTON, KY 40509 (859) 296-4400 |
| 1174757520 | MORGAN WELLS CHAMBERS DMD Individual | Dentist (General Practice) | 3475 RICHMOND RD SUITE 100 LEXINGTON, KY 40509 (859) 543-0505 |
| 1467550855 | SHERRI L. BAER PA-C Individual | Physician Assistant | 3475 RICHMOND RD SUITE 200 LEXINGTON, KY 40509 (859) 296-4400 |
| 1215953765 | JOHN L BUKER MD PSC Organization | Dermatology | 3475 RICHMOND RD SUITE 200 LEXINGTON, KY 40509 (859) 296-4400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609924018, enumerated in the NPI registry as an "organization" on January 08, 2007
The provider is located at 3475 Richmond Rd Suite 200 Lexington, Ky 40509 and the phone number is (859) 296-4400
This medical organization specializes in Dermatology with taxonomy code 207ND0101X with a focus in MOHS-Micrographic Surgery
The provider's CLIA number is 18D0929832 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on January 08, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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