Organization Active NPI

Gary M Greger DPM Inc

  • Foot & Ankle Surgery Podiatrist
  • Canton, OH
National Provider Identifier
1245271493
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
OH36002696 Issued in OH
Legal business name
GARY M GREGER DPM INC
Practice address
6227 Frank Ave NW
Canton, OH 44720-8439
Phone
(330) 244-9688
Fax
(330) 244-1966
NPI assigned
Jun 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Authorized official

Name
Mr. Tim McGrath
Title
Credentialing
Phone
(330) 479-5428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X OH36002696 OH Primary

Addresses

Primary practice location

6227 Frank Ave NW
Canton, OH 44720-8439

Mailing address

6227 Frank Ave NW
Canton, OH 44720-8439
Phone (330) 244-9688

Other identifiers 1

IdentifierTypeStateIssuer
0862160MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1245271493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6227 FRANK AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447208439",
            "telephone_number": "330-244-9688",
            "fax_number": "330-244-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6227 FRANK AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447208439",
            "telephone_number": "330-244-9688",
            "fax_number": "330-244-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY M GREGER DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "MCGRATH",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "330-479-5428",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "OH36002696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0862160",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.