Greg Mick D.O., PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

02503 Issued in KY

Legal business name

GREG MICK D.O., PLLC

Practice address

2375 Professional Heights Dr
Suite 240
Lexington, KY 40503-3040

Phone

(859) 523-8996

Fax

(859) 523-9370

NPI assigned

Mar 17, 2015

Organization subpart

No

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

Authorized official

Name

John Daniels

Title

Manager

Phone

(859) 523-8996

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1215320056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 PROFESSIONAL HEIGHTS DR",
            "address_2": "SUITE 240",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033040",
            "telephone_number": "859-523-8996",
            "fax_number": "859-523-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 PROFESSIONAL HEIGHTS DR",
            "address_2": "SUITE 240",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033040",
            "telephone_number": "859-523-8996",
            "fax_number": "859-523-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREG MICK D.O., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "859-523-8996"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "KY",
            "license": "02503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yadel Gonzalez Greenwell, PT, DPT
• Connor Greer
• Jamie Nicole Greer, CSW
• Lynette Greer
• Wade Greer, CSW, LCADC
• Timothy H Gregg, MD
• Gregory R. Erena, P.S.C.
• Darryl R Gregory, DC
• Emily Jordan Gregory, M.D.
• Eric Gregory, PHARMD

• General Practice Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• General Practice Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.