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BLUEGRASS BARIATRIC SURGICAL ASSOCIATES, PLLC

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Company Details

Name: BLUEGRASS BARIATRIC SURGICAL ASSOCIATES, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 04 Apr 2003 (22 years ago)
Organization Date: 04 Apr 2003 (22 years ago)
Last Annual Report: 15 Jul 2022 (3 years ago)
Managed By: Members
Organization Number: 0557659
ZIP code: 40509
City: Lexington
Primary County: Fayette County
Principal Office: 2716 OLD ROSEBUD RD., SUITE 350, LEXINGTON, KY 40509
Place of Formation: KENTUCKY

Registered Agent

Name Role
G. DEREK WEISS., M.D. Registered Agent

Member

Name Role
G Derek Weiss Member

Organizer

Name Role
KENNETH R. SAGAN Organizer

National Provider Identifier

NPI Number:
1902072291

Authorized Person:

Name:
MR. DEAN M OSCHWALD
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
No
Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
No
Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
8595431637

Form 5500 Series

Employer Identification Number (EIN):
161661481
Plan Year:
2016
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
23
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
21
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
28
Sponsors Telephone Number:

Filings

Name File Date
Annual Report 2022-07-15
Dissolution 2022-07-15
Annual Report 2021-02-15
Annual Report 2020-02-18
Annual Report 2019-04-25

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Sources: Kentucky Secretary of State