Michael J. Grogan M.D. PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21980 Issued in KY

Legal business name

MICHAEL J. GROGAN M.D. PLLC

Practice address

51 Cavalier Blvd
Suite 230
Florence, KY 41042-3966

Phone

(859) 586-0111

NPI assigned

Apr 29, 2008

Organization subpart

No

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

Authorized official

Name

Michael Joseph Grogan, M.D.

Title

Owner

Phone

(859) 586-0111

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1134394281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 CAVALIER BLVD",
            "address_2": "SUITE 230",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410423966",
            "telephone_number": "859-586-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 CAVALIER BLVD",
            "address_2": "SUITE 230",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410423966",
            "telephone_number": "859-586-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. GROGAN M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "GROGAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-586-0111",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "21980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "7395",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie A Metzger Aubuchon, OD
• Stefanie Metzger, CSW
• Sarah Metzler
• Kimberlynne Renee Meyer, RPH
• Jennifer N Meyers, ARNP
• Jennifer Michelle Michael, O.D.
• Yamil Elias Michelen Alvarez, MD
• Jonathan Mikhail, MD
• Lawrence R Mikkelson, D.C.
• Robert Lyall Milde, LCSW

• Family Medicine Physician in Florence, KY
• Providers in Florence, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.