Provider Demographics
NPI:1982651766
Name:ASSOCIATES IN NEUROLOGY, PSC
Entity Type:Organization
Organization Name:ASSOCIATES IN NEUROLOGY, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:L
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-296-1922
Mailing Address - Street 1:1021 MAJESTIC DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-1492
Mailing Address - Country:US
Mailing Address - Phone:859-296-1922
Mailing Address - Fax:859-296-0869
Practice Address - Street 1:1021 MAJESTIC DR
Practice Address - Street 2:SUITE 200
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-1492
Practice Address - Country:US
Practice Address - Phone:859-296-1922
Practice Address - Fax:859-296-0869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY65901662Medicaid
KY65901662Medicaid
KY2801Medicare PIN
KY2801Medicare ID - Type Unspecified