Individual provider Active NPI

Gregory M. Fletcher, M.D.

  • Emergency Medicine Physician
  • Owensboro, KY
National Provider Identifier
1275585556
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
54906 Issued in KY
Practice address
1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Phone
(270) 417-5911
Fax
(270) 417-6497
NPI assigned
May 16, 2006
Last updated
Jul 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01051017A IN
Emergency Medicine Physician 207P00000X 54906 KY Primary
Family Medicine Physician 207Q00000X 01051017A IN

Addresses

Primary practice location

1201 Pleasant Valley Rd
Owensboro, KY 42303-9811

Mailing address

PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330

Other practice location 1

2244 Ritzert Rd
Boonville, IN 47601-9733
Phone (812) 217-6903

Other practice location 2

440 Hopkinsville St
Greenville, KY 42345-1124
Phone (270) 338-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050718000876 IN Practitioner - Emergency MedicinePractitioner - Family Practice 3476444860 Reassigns benefits to 2 organizations
I20211220000357 KY Practitioner - Family Practice 3476444860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Phone (270) 417-4700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
54906KYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Dec 1, 2017 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Owensboro Health Medical Group, Inc. Emergency Medicine CurrentSince Dec 1, 2021 Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Dec 1, 2021 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Ohio Valley Heartcare Inc Past Accepting new patients
Deaconess Memorial Medical Center Inc Past Accepting new patients
Ohio Valley Heartcare Inc Past Accepting new patients
Stanley Armbruster D.D.S. Past Accepting new patients
St. Mary's Health, Inc Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

1116 Millis Ave
Boonville, IN 47601
Phone (812) 897-4800

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

440 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-8000

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1275585556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229",
            "telephone_number": "270-688-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PLEASANT VALLEY RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423039811",
            "telephone_number": "270-417-5911",
            "fax_number": "270-417-6497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2244 Ritzert Rd",
            "address_purpose": "LOCATION",
            "city": "Boonville",
            "state": "IN",
            "postal_code": "476019733",
            "country_code": "US",
            "telephone_number": "812-217-6903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "440 Hopkinsville St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "KY",
            "postal_code": "423451124",
            "country_code": "US",
            "telephone_number": "270-338-8000",
            "fax_number": "270-338-8333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "GREGORY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01051017A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "54906",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01051017A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.