Greenbo Med Services Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

19518 Issued in KY

Legal business name

GREENBO MED SERVICES INC

Practice address

1002 Lexington Rd
Ste 22-286
Georgetown, KY 40324-1463

Phone

(859) 539-6492

NPI assigned

Nov 10, 2010

Organization subpart

No

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

Authorized official

Name

Richard Crouch

Title

Ceo

Phone

(859) 539-6492

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1497056220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 LEXINGTON RD",
            "address_2": "STE 22-286",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403241463",
            "telephone_number": "859-539-6492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 LEXINGTON RD",
            "address_2": "STE 22-286",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403241463",
            "telephone_number": "859-539-6492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBO MED SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "CROUCH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "859-539-6492"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "19518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shon L Goodwin, M.S.
• Janette A Graham, PT
• Rebeccah Grace Gray
• Jenna Bivins Green, APRN
• Kelly M Green, OTR/L
• Richard Greene, DMD
• Tricia Greer
• William Lee Grey, DO
• Kameron Grigsby
• Elizabeth Victoria Grivetti, CADC, APSS, CSA

• Family Medicine Physician in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.