Bluegrass Xray Psc
Bluegrass Xray Psc is a healthcare organization registered as Diagnostic Radiology Physician in Lebanon, KY, holding Type 2 (organization) NPI 1124062906 since 2006. The authorized official on file is Cheryl Baker, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124062906 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bluegrass Xray Psc |
| Practice address | 320 LORETTO RD, Lebanon, KY, 40033 |
| Phone | 2706925267 |
| Enumeration date | 2006-06-15 |
| Last updated in NPPES | 2007-08-23 |
Authorized official
| Name | Cheryl Baker |
|---|---|
| Title | President |
| Phone | 2706925267 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2085R0202X | Diagnostic Radiology Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2622933000 | Other | — | PASSPORT ADVANTAGE |
| 50007610 | Other | — | PASSPORT HEALTH |
| DD5463 | Other | — | MEDICARE RAILROAD |
Copy-ready billing details
Provider: Bluegrass Xray Psc NPI: 1124062906 Taxonomy: 2085R0202X (Diagnostic Radiology Physician) Address: 320 LORETTO RD, Lebanon, KY, 40033
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1497747919 | James Montgomery | Individual | Anesthesiology Physician | Lebanon, KY |
| 1194717611 | Terry Johnson | Individual | Certified Registered Nurse Anesthetist | Lebanon, KY |
| 1073581989 | Lebanon Emergency Group LLC | Organization | Medical Physician Assistant | Lebanon, KY |
| 1417915349 | Gary Waldron | Individual | Certified Registered Nurse Anesthetist | Lebanon, KY |
| 1699724229 | Spring View Physician Practices LLC | Organization | Internal Medicine Physician | Lebanon, KY |
| 1932154374 | Steven Grover | Individual | Emergency Medicine Physician | Lebanon, KY |
| 1639126337 | B Yalamanchili | Individual | Diagnostic Radiology Physician | Lebanon, KY |
| 1881634467 | Cheryl Baker | Individual | Diagnostic Radiology Physician | Lebanon, KY |
Verify this record
Cross-check NPI 1124062906 against the authoritative CMS record: view Bluegrass Xray Psc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Bluegrass Xray Psc?
Who is the authorized official for Bluegrass Xray Psc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-08-23.