Individual provider Active NPI

Michael Anthony Grefer, MD

  • Orthopaedic Surgery Physician
  • Edgewood, KY
National Provider Identifier
1881699692
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
18854 Issued in KY
Practice address
560 S Loop Rd
Edgewood, KY 41017-3405
Phone
(859) 301-2663
Fax
(859) 301-0655
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 18854 KY Primary

Addresses

Primary practice location

560 S Loop Rd
Edgewood, KY 41017-3405

Mailing address

560 S Loop Rd
Edgewood, KY 41017-3405
Phone (859) 301-2663

Other identifiers 6

IdentifierTypeStateIssuer
200039822OtherKYRAILROAD MEDICARE
64188543MedicaidKY
000000033937OtherKYANTHEM
90008962OtherKYMEDICAID DME
CB8861OtherKYRAILROAD MEDICARE
428850001OtherKYMEDICARE DME

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthocincy Orthopaedics & Sports Medicine PSC Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocincy PastSince Jan 1, 1990 Accepting new patients
Orthocincy Orthopaedics & Sports Medicine PSC Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocincy Orthopaedics & Sports Medicine PSC Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocincy Orthopaedics & Sports Medicine PSC Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocincy Orthopaedics & Sports Medicine PSC Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocincy PastSince Jan 1, 1990 Accepting new patients
Orthocincy Orthopaedics & Sports Medicine PSC Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocincy Orthopaedics & Sports Medicine PSC Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocincy Orthopaedics & Sports Medicine PSC Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocincy Orthopaedics & Sports Medicine PSC Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocincy Orthopaedics & Sports Medicine PSC Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocincy Orthopaedics & Sports Medicine PSC Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocincy Orthopaedics & Sports Medicine PSC Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Orthocincy Orthopaedics & Sports Medicine PastSince Jan 1, 1990 Accepting new patients
Orthocincy Orthopaedics & Sports Medicine PSC Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michaelg@coc1897.srs-direct.com

Organizations & group practices 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1881699692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 S LOOP RD",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173405",
            "telephone_number": "859-301-2663",
            "fax_number": "859-301-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 S LOOP RD",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173405",
            "telephone_number": "859-301-2663",
            "fax_number": "859-301-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREFER",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "18854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200039822",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64188543",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000033937",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "90008962",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB8861",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "428850001",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.