NPIMap

Individual provider Active NPI

Adam Benjamin Greer, DO

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1184001133
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5980 Issued in OK
Practice address
8115 S Memorial Dr
Tulsa, OK 74133-4331
Phone
(918) 254-6315
Fax
(918) 403-6315
NPI assigned
Apr 29, 2015
Last updated
Sep 26, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5980 OK Primary

Addresses

Primary practice location

8115 S Memorial Dr
Tulsa, OK 74133-4331

Mailing address

8115 S Memorial Dr
Tulsa, OK 74133-4331
Phone (918) 542-6315

Other practice location 1

7501 S Riverside Pkwy
Tulsa, OK 74136
Phone (918) 710-4200

Other practice location 2

7333 East 121st St South
Bixby, OK 74008
Phone (918) 403-7140

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160914001750 OK Practitioner - Family Practice 0446546600 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Omni Medical Group IncGroup PAC ID 9739080490, 82 clinicians

Practice addresses (Care Compare)

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2967

800 W Boise Cir
Suite 160
Broken Arrow, OK 74012-4932
Phone (918) 994-9160

8115 S Memorial Dr
Tulsa, OK 74133-4331
Phone (918) 254-6315

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5980OKMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Aug 15, 2016 Accepting new patients
Omni Medical Group Inc Family Medicine CurrentSince Oct 1, 2018 Accepting new patients
St. John Physicians, Inc. Family Medicine CurrentSince Aug 15, 2016 Accepting new patients
St John Medical Center Inc Past Accepting new patients

Locations

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

8115 S Memorial Dr
Tulsa, OK 74133
Phone (918) 254-6315

Interoperability endpoints

  • Direct secure messaging: adam.greer@direct.stjohnhealthsystem.com

Organizations & group practices 4

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1184001133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8115 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334331",
            "telephone_number": "918-542-6315",
            "fax_number": "918-403-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334331",
            "telephone_number": "918-254-6315",
            "fax_number": "918-403-6315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7501 S Riverside Pkwy",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "74136",
            "country_code": "US",
            "telephone_number": "918-710-4200",
            "fax_number": "918-253-3155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7333 East 121st St South",
            "address_purpose": "LOCATION",
            "city": "Bixby",
            "state": "OK",
            "postal_code": "74008",
            "country_code": "US",
            "telephone_number": "918-403-7140",
            "fax_number": "918-253-3155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREER",
        "first_name": "ADAM",
        "middle_name": "BENJAMIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-29",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "5980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.