Active NPI
Gerald R. Eichhorn, M.D.
- Neurology Physician
- Lexington, KY
National Provider Identifier
1467480475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 39152
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64096720 | Medicaid | KY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 39152 | KY | MD | Neurology 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.