DR. GREG L. ANDERSON (NPI# 1154368801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154368801 |
Entity Type | Individual |
Full Name | DR. GREG L. ANDERSON |
Credential | MD |
Practice Address |
1021 Majestic Drive Suite 200 Lexington KY 40513 |
Mailing Address |
Po Box 936 London KY 40743-0936 |
Practice Telephone | 8592961922 |
Practice Fax Number | 8596850701 |
Mailing Telephone | 6063307840 |
Mailing Fax Number | 6063307825 |
Enumeration Date | 2006-06-01 |
Last Update Date | 2019-05-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
23776 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 64237761 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790157469 | Greg Anderson | Psychologist | 5125 County Road 101, #300, Relate, Inc., Minnetonka, MN 55345 | 2015-10-21 |
1346724689 | Greg Anderson | Massage Therapist | 6855 4th St Nw Ste B-2, Los Ranchos, NM 87107-6100 | 2018-09-22 |
1508369034 | Greg W Anderson | Nurse Practitioner | 2018 Pulliam St, San Angelo, TX 76905-5148 | 2018-03-12 |
1255307047 | Greg Anderson | Family Medicine | 722 N State St, Bellingham, WA 98225-5334 | 2006-02-23 |
Street Address |
1021 MAJESTIC DRIVE SUITE 200 |
City | LEXINGTON |
State | KY |
Zip Code | 40513 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902853617 | Warren F. Chumley | Psychiatry & Neurology | 1021 Majestic Drive, Suite 200, Lexington, KY 40513 | 2006-05-28 |
1841450665 | Phoenix Health Associates Pllc | Community/Behavioral Health | 1021 Majestic Drive, Suite 100, Lexington, KY 40513-1492 | 2008-06-16 |
1275660763 | Saeed Hamid | Psychiatry & Neurology | 1021 Majestic Drive, Suite # 100, Lexington, KY 40513-1866 | 2007-02-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861991531 | Angela C Dehart, Lcsw | Social Worker | 1040 Monarch St Ste 110, Lexington, KY 40513 | 2018-02-07 |
1831623313 | Dustin Mayrand | Student in an Organized Health Care Education/Training Program | 3141 Beaumont Centre Cir Ste 300, Lexington, KY 40513 | 2017-04-12 |
1992253249 | Apollo Laboratory Science and Technology Services | Clinical Medical Laboratory | 3191 Beaumont Centre Cir Ste 150, Lexington, KY 40513 | 2016-09-15 |
1457751174 | Kentucky One Health | Community/Behavioral Health | 3251 Beaumont Circle, Saint Joseph Healthy Lifestyle Center, Lexington, KY 40513 | 2014-08-29 |
1063777316 | Baptist Physicians Lexington, Inc | Internal Medicine | 3084 Lakecrest Circle, Suite 100, Lexington, KY 40513 | 2012-07-11 |
1346524329 | Katherina Terhune | Social Worker | 1000 Monarch Street, #250, Lexington, KY 40513 | 2011-10-07 |
1619206539 | Beamont Chiropractic LLC | Chiropractor | 3160 Beaumont Circle, Suite 130, Lexington, KY 40513 | 2009-12-24 |
1659604197 | Thomas Fordham Brewer | Preventive Medicine | 3234 Beacon St., Lexington, KY 40513 | 2009-09-16 |
1033368931 | Katy M Breeze | Pharmacist | #2573 Palomar Centre Dr, Rite Aid Pharmacy, Lexington, KY 40513 | 2008-09-16 |
1356485890 | Muscle & Rom Testing LLC | Specialist | 3726 Military Pike, Lexington, KY 40513 | 2007-02-17 |
Find all providers in zip 40513 |
Taxonomy Code | 2084N0600X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Clinical Neurophysiology |
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902853617 | Warren F. Chumley | Psychiatry & Neurology | 1021 Majestic Drive, Suite 200, Lexington, KY 40513 | 2006-05-28 |
1891037230 | Ima Mbodie Ebong | Psychiatry & Neurology | 740 S Limestone Ky Clinic J401, Lexington, KY 40536 | 2013-03-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205037470 | Ty Brown | Psychiatry & Neurology | 2670 Chancellor Drive, Crestview Hills, KY 41017-5466 | 2007-05-29 |
1467450601 | Vasudeva G. Iyer | Psychiatry & Neurology | 2505 Bush Ridge Dr, Suite A, Louisville, KY 40245-5885 | 2005-07-12 |
1366671265 | Disha Shah | Psychiatry & Neurology | 6400 Dutchmans Pkwy, Suite 175, Louisville, KY 40205-3340 | 2009-07-13 |
1144456757 | Iyer Neurology Pllc | Psychiatry & Neurology | 2505 Bush Ridge Dr, Suite A, Louisville, KY 40245-5885 | 2009-06-09 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.