Organization Active NPI

Gregory T Jehrio MD LLC

  • Internal Medicine Physician
  • Lockport, NY
National Provider Identifier
1942684881
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
201352 Issued in NY
Legal business name
GREGORY T JEHRIO MD LLC
Practice address
393 Davison Rd
Suite a
Lockport, NY 14094-4004
Phone
(716) 493-0202
NPI assigned
Jul 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Authorized official

Name
Mr. Gregory Thomas Jehrio, MDNPI 1033193339
Title
President
Phone
(716) 439-0202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 201352 NY Primary

Addresses

Primary practice location

393 Davison Rd
Suite a
Lockport, NY 14094-4004

Mailing address

393 Davison Rd
Suite a
Lockport, NY 14094-4004
Phone (716) 493-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151019001509 NY Part B Supplier - Clinic/Group Practice 8628387453 Receives reassigned benefits from 1 practitioner
Practice locations: Lockport, NY

National Provider Directory

National Provider Directory

Locations

1001 Lincoln Ave
Lockport, NY 14094
Phone (716) 433-1513

393 Davison Rd
Ste A
Lockport, NY 14094
Phone (716) 439-0202

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1942684881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 DAVISON RD",
            "address_2": "SUITE A",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140944004",
            "telephone_number": "716-493-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 DAVISON RD",
            "address_2": "SUITE A",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140944004",
            "telephone_number": "716-493-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY T JEHRIO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "JEHRIO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-439-0202",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "201352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.