Organization Active NPI

M2K Internal Medicine, PLLC

  • Internal Medicine Physician
  • Lexington, KY
National Provider Identifier
1386792067
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13046 Issued in KY
Legal business name
M2K INTERNAL MEDICINE, PLLC
Practice address
120 N Eagle Creek Dr
Suite 321
Lexington, KY 40509-1827
Phone
(859) 233-1490
Fax
(859) 264-8026
NPI assigned
Jan 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles G Grigsby, MD
Title
Manager
Phone
(859) 233-1490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 13046 KY Primary

Addresses

Primary practice location

120 N Eagle Creek Dr
Suite 321
Lexington, KY 40509-1827

Mailing address

120 N Eagle Creek Dr
Suite 321
Lexington, KY 40509-1827
Phone (859) 233-1490

Other names 1

  • CHARLES G GRIGSBY Other name

National Provider Directory

National Provider Directory

Locations

120 N Eagle Creek Dr
#321
Lexington, KY 40509
Phone (859) 233-1490

120 N Eagle Creek Dr
Ste 321
Lexington, KY 40509
Phone (859) 233-1490

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386792067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N EAGLE CREEK DR",
            "address_2": "SUITE 321",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091827",
            "telephone_number": "859-233-1490",
            "fax_number": "859-264-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N EAGLE CREEK DR",
            "address_2": "SUITE 321",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091827",
            "telephone_number": "859-233-1490",
            "fax_number": "859-264-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M2K INTERNAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIGSBY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "859-233-1490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "13046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHARLES G GRIGSBY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.