MEDICARE: DR. GREGORY L SALZMAN 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	207RG0100X	Gastroenterology Physician	26351	KY
2	207RG0100X	Gastroenterology Physician	01085532A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1000003829	OTHER		MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	000000049608	OTHER	ANTHEM
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821095456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY L SALZMAN M.D.

Provider Business Mailing Address
First Line	:	606 WILSON CREEK RD
Second Line	:
City	:	LAWRENCEBURG
State	:	IN
Zip	:	47025-1095
Country	:	US
Telephone Number	:	859-331-6466
Fax Number	:	859-344-7925

Provider Business Practice Location Address
First Line	:	606 WILSON CREEK RD
Second Line	:
City	:	LAWRENCEBURG
State	:	IN
Zip	:	47025-1095
Country	:	US
Telephone Number	:	812-496-8794
Fax Number	:	812-537-4979

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

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	05/17/2023

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Directions to “ DR. GREGORY L SALZMAN M.D.” Practice Location

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