Scott Christopher Grealish, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD18529 Issued in OR

Practice address

1306 Division St
Oregon City, OR 97045-1523

Phone

(503) 656-4221

Fax

(503) 656-4249

NPI assigned

Nov 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eye Health Northwest, PC

  • Ophthalmology Physician
  • Milwaukie, OR
  • NPI 1619959731
  Medicare reassignment NPD
• Eye Health Northwest P.C.

  • Ophthalmology Physician
  • Portland, OR
  • NPI 1992397426
  NPD

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613779200000",
    "number": "1205818382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22009",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972692009",
            "telephone_number": "503-558-7372",
            "fax_number": "503-344-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 DIVISION ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451523",
            "telephone_number": "503-656-4221",
            "fax_number": "503-656-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREALISH",
        "first_name": "SCOTT",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2021-02-20",
        "certification_date": "2021-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD18529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079868",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Char Grami, B.S., QMHA
• Rebecca E Grandi-Smith, EFDA
• Jennifer Marie Grant, PA
• Amy Harris Gray, PT
• Jillian Yasmine Gray, RN
• Karen Elaine Greco, PHD, RN, ANP
• Jennifer Ann Green, RDH
• Jonathan Green
• Sarah Michelle Greenberg, OTD, OTR/L
• Stephanie Gregory, LCSW

• Ophthalmology Physician in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Ophthalmology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.