MEDICARE: MICHAEL S. GAINEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	22283	KY
2	207Q00000X	Family Medicine Physician	22283	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	K014761	OTHER		MEDICARE NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000229306	OTHER	KY	BLUECROSS BLUESHIELD

General Provider Information

NPI Number	:	1194796169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL S. GAINEY M.D.

Provider Business Mailing Address
First Line	:	1210 KY HIGHWAY 36 E
Second Line	:	ATTN: DAVID ASHER
City	:	CYNTHIANA
State	:	KY
Zip	:	41031-7490
Country	:	US
Telephone Number	:	859-234-4494
Fax Number	:	859-234-4498

Provider Business Practice Location Address
First Line	:	1210 KY HIGHWAY 36 E
Second Line	:	ATTN: DAVID ASHER
City	:	CYNTHIANA
State	:	KY
Zip	:	41031-7490
Country	:	US
Telephone Number	:	859-234-4494
Fax Number	:	859-234-4498

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	10/29/2019

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Directions to “ MICHAEL S. GAINEY M.D.” Practice Location

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