Gerardo a. Grieco, M.D., S.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

GERARDO A. GRIECO, M.D., S.C.

Practice address

1300 Franklin Ave Ste 210
Normal, IL 61761-3588

Phone

(309) 452-1193

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Taylor Grieco, R.N.

Title

Office Manager

Phone

(309) 452-1193

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1184746281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 FRANKLIN AVE",
            "address_2": "SUITE 210",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617613592",
            "telephone_number": "309-452-1193",
            "fax_number": "309-452-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 FRANKLIN AVE STE 210",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617613588",
            "telephone_number": "309-452-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERARDO A. GRIECO, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "GRIECO",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "309-452-1193",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP ID",
            "identifier": "05715632",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP ID",
            "identifier": "DB8294",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian William Gebhart, D.O.
• Abigail Gee, APN
• Elizabeth Rose Geistlinger
• Generations at Normal, LLC
• Luke Gentry, DPT
• Noel Y Gerongay, RPT
• Ali Raza Ghani, M.D.
• Amanda Lee Gibson, OTRL
• Daniel William Gibson, D.O
• Stacey J Giese, RN

• Surgery Physician in Normal, IL
• Providers in Normal, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.