Individual provider Active NPI

Gerald R. Eichhorn, M.D.

  • Neurology Physician
  • Lexington, KY
National Provider Identifier
1467480475
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
39152 Issued in KY
Practice address
2101 Nicholasville Rd
Suite 204
Lexington, KY 40503-2518
Phone
(859) 260-4330
Fax
(859) 260-4334
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 39152 KY Primary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 39152 KY

Addresses

Primary practice location

2101 Nicholasville Rd
Suite 204
Lexington, KY 40503-2518

Mailing address

4071 Tates Creek Centre Dr
Suite 202
Lexington, KY 40517-3062
Phone (859) 260-4330

Other identifiers 1

IdentifierTypeStateIssuer
64096720MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39152KYMDNeurology Physician

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1467480475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4071 TATES CREEK CENTRE DR",
            "address_2": "SUITE 202",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405173062",
            "telephone_number": "859-260-4330",
            "fax_number": "859-260-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 NICHOLASVILLE RD",
            "address_2": "SUITE 204",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032518",
            "telephone_number": "859-260-4330",
            "fax_number": "859-260-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHHORN",
        "first_name": "GERALD",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "39152",
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "KY",
            "license": "39152",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64096720",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 13, 2013; 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.