Michael G. Ehrie, Jr, PSC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

21309 Issued in KY

Legal business name

MICHAEL G. EHRIE, JR, PSC

Practice address

1150 Saint Christopher Dr
Ashland, KY 41101-7055

Phone

(606) 836-9622

Fax

(606) 836-1986

NPI assigned

Sep 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael G Ehrie Jr., MD

Title

Physician

Phone

(606) 836-9622

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• michael g. ehrie, md. psc Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1053508663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 SAINT CHRISTOPHER DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017055",
            "telephone_number": "606-836-9622",
            "fax_number": "606-836-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 SAINT CHRISTOPHER DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017055",
            "telephone_number": "606-836-9622",
            "fax_number": "606-836-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL G. EHRIE, JR, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "EHRIE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "606-836-9622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "KY",
            "license": "21309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010000406",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "020394400",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO MEDICAID",
            "identifier": "0476373",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64213093",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4460420",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/BCBS",
            "identifier": "000000047402",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "michael g. ehrie, md. psc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Derrick Mershon, MD
• Jaquline Messer
• Frelina R Metzler
• Amanda Meyer, LPCC
• Michael E. Brock, D.O., P.S.C.
• Michael J. Goodwin, MD, PSC
• Micheal D. Chapman PHD & Associates
• Michelle Murray, DPM, PSC
• Tianna Middleton
• Miranda Miles

• Exclusive Provider Organization in Ashland, KY
• Providers in Ashland, KY by specialty
• Exclusive Provider Organization in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.