DR. GREGORY EDWARD MICK (NPI# 1912033929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912033929 |
| Entity Type | Individual |
| Full Name | DR. GREGORY EDWARD MICK |
| Credential | DO |
| Practice Address |
2285 Executive Dr Suite 100 Lexington KY 40505-4810 |
| Practice Telephone | 8592331490 |
| Practice Fax Number | 8592940236 |
| Mailing Telephone | 8592331490 |
| Mailing Fax Number | 8592940236 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2014-04-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
02503 | KY | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
02503 | KY | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
02503 | KY | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
02503 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 6402503400 | 05 |
| Street Address |
2285 EXECUTIVE DR SUITE 100 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40505-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629548219 | Leah Morgan Adekoya | Occupational Therapist | 1300 East New Circle Road Suite 150, Lexington, KY 40505 | 2018-11-27 |
| 1972029825 | Sarah Thompson | Community Health Worker | 2250 Thunderstick Drive, 1104, Lexington, KY 40505 | 2017-08-22 |
| 1740717552 | Amber Nichols | Counselor | 2250 Thunderstruck Drive, Lexington, KY 40505 | 2017-05-11 |
| 1588195770 | Attender Care LLC | In Home Supportive Care | 1022 Highland Park Drive, Lexington, KY 40505 | 2017-03-21 |
| 1194261750 | Elite Performance & Individualized Care Chiropractic, Pllc | Chiropractor | 1300 E New Circle Rd Ste 160, Lexington, KY 40505 | 2017-01-06 |
| 1063880870 | Heather Nicole Cox | Nurse Practitioner | 2285 Executive Dr Ste 100, Lexington, KY 40505 | 2015-09-10 |
| 1962818617 | Paul Wong | Pharmacist | 800 Rose St, Room H110, University of Kentucky, Lexington, KY 40505 | 2014-07-02 |
| 1720404593 | Kahndra Chauntay Franklin | Specialist | 952 Winchester Rd, Suite 120, Lexington, KY 40505 | 2014-03-17 |
| 1568734572 | Richard Joseph Simpson | Chiropractor | 1300 E New Circle Rd, Ste 160, Lexington, KY 40505 | 2012-02-07 |
| 1598040719 | Sena Jill Comfort | Pharmacist | 260 New Circle Rd, Lexington, KY 40505 | 2011-10-19 |
| Find all providers in zip 40505 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053653717 | Charles Sinclair Mooney | Family Medicine | 2700 Bryan Station Rd, Lexington, KY 40516-9002 | 2013-03-20 |
| 1356672927 | Bledsoe Family Medicine LLC | Family Medicine | 669 Barr Rd Ste C, Lexington, SC 29072-2369 | 2010-01-21 |
| 1972560142 | Horace William Bledsoe | Family Medicine | 123 Carriage Hill Dr, Lexington, SC 29072-7503 | 2006-04-29 |
| 1831150531 | Harsh Doshi | Family Medicine | 17280 Highway 17 South, Lexington, MS 39095 | 2006-03-31 |
| 1619377454 | Beaumont Integrated Medicine Psc | Family Medicine | 989 Governors Ln, Lexington, KY 40513-1173 | 2014-08-29 |
| 1275933129 | Hamburg Integrated Medicine Psc | Family Medicine | 1890 Star Shoot Pkwy, Suite 190, Lexington, KY 40509-4566 | 2014-08-28 |
| 1265660708 | Lexington Family Physicians LLC | Family Medicine | 250 Boswell St, Lexington, TN 38351-1566 | 2009-06-23 |
| 1811101108 | Stephen Michael Clancy | Family Medicine | 3301 Leestown Rd, Lexington, KY 40511-8702 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363509 | The Well Wagon, LLC | Family Medicine | 2124 Dogoon Dr, Louisville, KY 40223-1147 | 2020-10-12 |
| 1396352332 | Erin Bryant Aprn Pllc | Family Medicine | 2407 Ring Rd Ste 133, Elizabethtown, KY 42701-5963 | 2020-09-24 |
| 1447883491 | Kristy Bryant | Family Medicine | 315 E Broadway Ste 103, Louisville, KY 40202-3700 | 2020-02-18 |
| 1457624777 | Sam H. Reid | Family Medicine | 353 E Lexington Ave, Danville, KY 40422-1521 | 2012-02-16 |
| 1023311800 | Tj Health Partners LLC | Family Medicine | 312 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2010-12-16 |
| 1366607582 | Harold Douglass Crall | Family Medicine | 4000 Morgan Rd, Roederer Correctional Complex, La Grange, KY 40031-0069 | 2008-07-28 |
| 1346440062 | Frank Lyons Do, Psc | Family Medicine | 775 E Tom T Hall Blvd, Olive Hill, KY 41164-7040 | 2007-07-20 |
| 1649329624 | Earnest F Oblander | Family Medicine | 1204 Winding Creek Pl, Louisville, KY 40245-5232 | 2007-01-09 |
| 1952499691 | James Ray Rich | Family Medicine | 5975 Taylor Mill Road, Covington, KY 41015-2397 | 2006-10-10 |
| 1376567875 | Lowell Grey Arnett Jr. | Family Medicine | 2978 E Mountain Pkwy, Salyersville, KY 41465-9772 | 2006-07-27 |
| Find all providers with the same taxonomy | ||||
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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.