OrganizationActive
Bluegrass Dermatology, PLLC
NPI 1881740884 · Dermatology Physician · Paducah, KY
Bluegrass Dermatology, PLLC is a Dermatology Physician organization in Paducah, KY (NPI 1881740884).
Provider details
- NPI number
- 1881740884
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Douglas Wilson, Owner(270) 443-7546
- License
- 36202 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4616 Village Square Drive
Paducah, KY 42001-7501
Phone: (270) 443-7546
Fax: (270) 443-4002
Street-level locationGet directions
Mailing address
4616 Village Square Drive
Paducah, KY 42001-7501
Registry dates
- Enumerated
- 2007-01-25
- Last updated
- 2011-04-01
Frequently asked questions
- What is Bluegrass Dermatology, PLLC's NPI number?
- Bluegrass Dermatology, PLLC's National Provider Identifier (NPI) is 1881740884, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bluegrass Dermatology, PLLC?
- Bluegrass Dermatology, PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Bluegrass Dermatology, PLLC located?
- Bluegrass Dermatology, PLLC's practice location on file with NPPES is 4616 Village Square Drive, Paducah, KY 42001-7501.
- What is Bluegrass Dermatology, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Bluegrass Dermatology, PLLC is (270) 443-7546.
- Who is the authorized official for Bluegrass Dermatology, PLLC?
- The authorized official listed on Bluegrass Dermatology, PLLC's NPPES record is Douglas Wilson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bluegrass Dermatology, PLLC's NPI active?
- Yes — Bluegrass Dermatology, PLLC's NPI (1881740884) is active in the NPPES registry as of the last update on 2011-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.