Gregory Charlton Vincent, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

3002028 Issued in KY

Practice address

225 Medical Center Dr
Suite 105
Paducah, KY 42003-7914

Phone

(270) 441-4500

Fax

(270) 441-4289

NPI assigned

Jul 17, 2006

Last updated

Aug 31, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY, IL2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Triangle Anesthesia Group PSC

  • Anesthesiology Physician
  • Hazard, KY
  • NPI 1124079314

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Tas of Kentucky LLC

  • Anesthesiology Physician
  • Mayfield, KY
  • NPI 1255735346
  Medicare reassignment
• Tas of Illinois, LLC

  • Certified Registered Nurse Anesthetist
  • Metropolis, IL
  • NPI 1548636418
  Medicare reassignment
• Anesthesia Associates, PSC

  • Anesthesiology Physician
  • Lexington, KY
  • NPI 1902991169

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1992723118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636961",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636961",
            "telephone_number": "513-981-5130",
            "fax_number": "513-981-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR",
            "address_2": "SUITE 105",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037914",
            "telephone_number": "270-441-4500",
            "fax_number": "270-441-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "GREGORY",
        "middle_name": "CHARLTON",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3002028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74002775",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victory Homes LLC
• Amy Vied
• Tabetha Viers-Farley, BSW
• Kimberly B Vigil, PHD
• Alexis Renee Vincent
• Catherine J Vinson, COTA
• Cheryl Vinson, APRN
• Allison Brooke Vinyard, MS, RD, LD
• Monica Tinsley Vinyard, PA-C
• Vision Anesthesia LLC

• Certified Registered Nurse Anesthetist in Paducah, KY
• Providers in Paducah, KY by specialty
• Certified Registered Nurse Anesthetist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.