Provider Demographics
NPI:1194796169
Name:GAINEY, MICHAEL S (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:S
Last Name:GAINEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1210 KY HIGHWAY 36 E
Mailing Address - Street 2:ATTN: DAVID ASHER
Mailing Address - City:CYNTHIANA
Mailing Address - State:KY
Mailing Address - Zip Code:41031-7490
Mailing Address - Country:US
Mailing Address - Phone:859-234-4494
Mailing Address - Fax:859-234-4498
Practice Address - Street 1:1210 KY HIGHWAY 36 E
Practice Address - Street 2:ATTN: DAVID ASHER
Practice Address - City:CYNTHIANA
Practice Address - State:KY
Practice Address - Zip Code:41031-7490
Practice Address - Country:US
Practice Address - Phone:859-234-4494
Practice Address - Fax:859-234-4498
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY22283207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64222839Medicaid
KY000000229306OtherBLUECROSS BLUESHIELD
K014761OtherMEDICARE NUMBER
KY000000229306OtherBLUECROSS BLUESHIELD