Grider, Jay Samuel

Grider, Jay Samuel is an individual health care provider with primary practice located at 310 S Limestone Suite 100A, Lexington KY 40508-3008. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Grider, Jay Samuel can be contacted via phone (859) 323-7246.

Contact Information

Primary practice address
310 S Limestone Suite 100A Lexington KY 40508-3008
Phone: (859) 323-7246
Fax: (859) 257-6612
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 02674 Kentucky
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 02674 Kentucky

Profile Details

NPI number 1255422887
LBN Legal business name Grider, Jay Samuel
Credentials DO, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Sep 5th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255422887 NPPES
Kentucky MEDICAID 64078181

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