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BLUEGRASS PODIATRIC MANAGEMENT LLC

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Company Details

Name: BLUEGRASS PODIATRIC MANAGEMENT LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 08 Jan 2015 (10 years ago)
Organization Date: 08 Jan 2015 (10 years ago)
Last Annual Report: 20 Mar 2024 (a year ago)
Managed By: Managers
Organization Number: 0906876
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40206
City: Louisville
Primary County: Jefferson County
Principal Office: 178 North Ewing Avenue, Louisville, KY 40206
Place of Formation: KENTUCKY

Registered Agent

Name Role
Stephen L. Fugitte Registered Agent

Organizer

Name Role
FBT, LLC Organizer

Manager

Name Role
Stephen Lee Fugitte Manager

National Provider Identifier

NPI Number:
1720477672
Certification Date:
2024-10-29

Authorized Person:

Name:
ANGIE LASORELLA
Role:
CREDENTIALING SUPERVISOR
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
213E00000X - Podiatrist
Is Primary:
Yes

Contacts:

Fax:
8884196943

Form 5500 Series

Employer Identification Number (EIN):
472749573
Plan Year:
2023
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
2
Sponsors Telephone Number:

Filings

Name File Date
Annual Report 2024-03-20
Annual Report 2023-03-17
Annual Report 2022-03-07
Annual Report 2021-03-11
Annual Report 2020-06-10

Trademarks

Serial Number:
90324768
Mark:
FOOTPRINT HEALTH
Status:
REPORT COMPLETED SUSPENSION CHECK - CASE STILL SUSPENDED
Mark Type:
SERVICE MARK
Application Filing Date:
2020-11-17
Mark Drawing Type:
Standard character mark
Mark Literal Elements:
FOOTPRINT HEALTH

Goods And Services

For:
Podiatry services; Mobile podiatry services
International Classes:
044 - Primary Class
Class Status:
Active

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Sources: Kentucky Secretary of State