Active NPI
Grayson Alternate Medicine Center
- Family Medicine Physician
- Grayson, KY
National Provider Identifier
1104124452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GRAYSON ALTERNATE MEDICINE CENTER
- Practice address
- 130 S Hord St
Grayson, KY 41143-1450 - Phone
- (606) 694-1894
- NPI assigned
- Mar 10, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James K Aphrem, DO
- Title
- Owner
- Phone
- (606) 694-1894
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
130 S Hord St
Grayson, KY 41143-1450
Mailing address
3311 Leffingwell CT
Ashland, KY 41102-5862
Phone (606) 694-1894
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100024360 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
130 S Hord St
Grayson, KY 41143
Phone (606) 475-9815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299715200000",
"number": "1104124452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3311 LEFFINGWELL CT",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411025862",
"telephone_number": "606-694-1894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 S HORD ST",
"city": "GRAYSON",
"state": "KY",
"postal_code": "411431450",
"telephone_number": "606-694-1894"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAYSON ALTERNATE MEDICINE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-10",
"last_updated": "2011-03-10",
"status": "A",
"authorized_official_last_name": "APHREM",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "606-694-1894",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100024360",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grayson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.