Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bluegrass Orthopedic Group PSC

Organization Specialist · NPI 1023217197

Bluegrass Orthopedic Group PSC is a Specialist in LA Grange, Kentucky. Licensed in Kentucky. Registered with an NPI since 2007.

Licensed in
KY
In the registry since
2007
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1023 New Moody Ln Ste 102
LA Grange, KY 40031-9177
Phone: (502) 222-0598
Fax: (502) 222-7446
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 23227 (KY)

Record details

NPI number1023217197
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eugne Jacob — President · (502) 222-0598
NPI enumeratedJuly 17, 2007
Last updated in NPPESJuly 17, 2007
Mailing address1023 New Moody Ln, Ste 102, La Grange, KY 40031-9177

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