Individual provider Active NPI

Joanne Grace Santos Greising, MD

  • Internal Medicine Physician
  • Youngstown, OH
National Provider Identifier
1043748874
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.139850 Issued in OH
Practice address
1001 Covington St
Youngstown, OH 44510-1617
Phone
(330) 480-2616
Fax
(330) 480-7979
NPI assigned
May 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.139850 OH Primary

Addresses

Primary practice location

1001 Covington St
Youngstown, OH 44510-1617

Mailing address

5814 Yorktown LN
Youngstown, OH 44515-2209
Phone (832) 366-4953

Other names 1

  • Joanne Grace Castillo Santos Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251007000586 MI Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 8224305727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1043748874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5814 YORKTOWN LN",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445152209",
            "telephone_number": "832-366-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 COVINGTON ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445101617",
            "telephone_number": "330-480-2616",
            "fax_number": "330-480-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREISING",
        "first_name": "JOANNE GRACE",
        "middle_name": "SANTOS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.139850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNE GRACE",
            "last_name": "SANTOS",
            "middle_name": "CASTILLO",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.