Kathleen M Greco M.D. P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

057881 Issued in MA

Legal business name

KATHLEEN M GRECO M.D. P.C.

Practice address

77 Swanton St
Suite 1
Winchester, MA 01890-2039

Phone

(781) 729-6869

Fax

(617) 332-4974

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen Mary Greco, MDNPI 1447274667

Title

Dermatologist

Phone

(781) 729-6869

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen Mary Greco, MD

  • Procedural Dermatology Physician
  • Winchester, MA
  • NPI 1447274667

  Specialist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1215069067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SWANTON ST",
            "address_2": "SUITE 1",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018902039",
            "telephone_number": "781-729-6869",
            "fax_number": "617-332-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SWANTON ST",
            "address_2": "SUITE 1",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018902039",
            "telephone_number": "781-729-6869",
            "fax_number": "617-332-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN M GRECO M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "GRECO",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "781-729-6869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "057881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS ID",
            "identifier": "057881",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josh Joseph
• Patricia A Joyce, A.N.P.
• Julianne M Murphy, Lic. Ac.
• Barry J. Kahn, M.S.W.
• Christopher Kareores, D.O.
• Janice Meryl Kaufman, PHD
• Monte I Kaufman, MD
• Marisa Kearney, M.D.
• Shiksha Kedia, M.D
• Jim Keleher

• Specialist in Winchester, MA
• Providers in Winchester, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.