NPIMap

Individual provider Active NPI

Donald Kevin Gregory, MD

  • Emergency Medicine Physician
  • Beaver Dam, KY
National Provider Identifier
1376583690
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
29862 Issued in KY
Practice address
1213 North Main Street
Beaver Dam, KY 42320
Phone
(270) 274-4771
Fax
(270) 274-4884
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 29862 KY Primary

Addresses

Primary practice location

1213 North Main Street
Beaver Dam, KY 42320

Mailing address

197 Timberline Hills LN
Hartford, KY 42347-9504

Other identifiers 2

IdentifierTypeStateIssuer
1376583690OtherKYNPI
64298623MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051107000301 KY Practitioner - Emergency Medicine 8921024498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Kentucky College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio County Hospital CorporationGroup PAC ID 3577477264, 84 clinicians

Practice addresses (Care Compare)

1211 Old Main St
Hartford, KY 42347-1619
Phone (270) 298-3806

Hospital & facility affiliations

  • Hospice of Ohio County Hospice, Hartford, KY, CCN 181518
  • Ohio County Hospital Hospital, Hartford, KY, CCN 181323
  • Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038
  • Ohio County Hospital Nursing home, CCN 18Z323

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio County Hospital Corporation Emergency Medicine CurrentSince Feb 22, 2008 Accepting new patients
Ohio County Hospital Corporation Current Accepting new patients
Ohio County Hospital Corporation CurrentSince Feb 22, 2008 Accepting new patients
Ohio County Hospital Corporation Current Accepting new patients
Emergency Coverage, LLC Emergency Medicine Past Accepting new patients
Ohio County Hospital Corporation Past Accepting new patients

Locations

1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806

20 E McMurtry Ave
Hartford, KY 42347
Phone (270) 504-1300

1215 Old Main St
Hartford, KY 42347
Phone (270) 298-5401

Organizations & group practices 13

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

View all 13

Hospital & facility affiliations 4

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1376583690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 TIMBERLINE HILLS LN",
            "city": "HARTFORD",
            "state": "KY",
            "postal_code": "423479504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 NORTH MAIN STREET",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "42320",
            "telephone_number": "270-274-4771",
            "fax_number": "270-274-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "DONALD",
        "middle_name": "KEVIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "29862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1376583690",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64298623",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Dam, KY

Sources for this page

Verify at the official NPI Registry.