Organization Active NPI

Douglas C Greer MD PC

  • Surgery Physician
  • Salt Lake City, UT
National Provider Identifier
1023687290
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
DOUGLAS C GREER MD PC
Practice address
1521 E 3900 S Ste 100
Salt Lake City, UT 84124-1550
Phone
(801) 268-3800
Fax
(801) 268-3997
NPI assigned
Jun 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Dr. Douglas Cooley Greer, MDNPI 1053796417
Title
President
Phone
(801) 835-0028

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1521 E 3900 S Ste 100
Salt Lake City, UT 84124-1550

Mailing address

1521 E 3900 S Ste 100
Salt Lake City, UT 84124-1550
Phone (801) 268-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210901002257 UT Part B Supplier - Clinic/Group Practice 7719383660 Receives reassigned benefits from 1 practitioner
Practice locations: Salt Lake City, UT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1023687290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 E 3900 S STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241550",
            "telephone_number": "801-268-3800",
            "fax_number": "801-268-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 E 3900 S STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241550",
            "telephone_number": "801-268-3800",
            "fax_number": "801-268-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS C GREER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "COOLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-835-0028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.