Active NPI
Douglas C Greer MD PC
- Surgery Physician
- Salt Lake City, UT
National Provider Identifier
1023687290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Douglas Cooley Greer, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
National Provider Directory
National Provider DirectoryPractitioners & 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.