Active NPI
Gregory Lee Page, D.O., M.P.H.
- Preventive Medicine/Occupational Environmental Medicine Physician
- Indianapolis, IN
National Provider Identifier
1053516914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- 34.006699
- Practice address
- 1481 W 10TH St
Indianapolis, IN 46202-2803 - Phone
- (317) 988-2253
- NPI assigned
- Jun 19, 2007
- Last updated
- Jan 14, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34.006699 | OH | |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 34.006699 | OH | Primary |
Addresses
Primary practice location
1481 W 10TH St
Indianapolis, IN 46202-2803
Mailing address
5282 Farmridge Way
Mason, OH 45040-3649
Phone (513) 398-0460
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 611097900 | Other | DOL OWCP PROVIDER NUMBER | |
| PA4229831 | Other | OR | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.006699 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Cincinnati Physicians Company, LLC | Family Medicine | Past | Accepting new patients |
| Alliance Institute for Integrative Medicine, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Cincinnati, OH
- NPI 1881752400
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578960000000",
"number": "1053516914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5282 FARMRIDGE WAY",
"city": "MASON",
"state": "OH",
"postal_code": "450403649",
"telephone_number": "513-398-0460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1481 W 10TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462022803",
"telephone_number": "317-988-2253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGE",
"first_name": "GREGORY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.O., M.P.H.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-19",
"last_updated": "2020-01-14",
"certification_date": "2020-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34.006699",
"primary": false
},
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "OH",
"license": "34.006699",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOL OWCP PROVIDER NUMBER",
"identifier": "611097900",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "PA4229831",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.