Active NPI
Gary M Greger DPM Inc
- Foot & Ankle Surgery Podiatrist
- Canton, OH
National Provider Identifier
1245271493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- OH36002696
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0862160 | Medicaid | OH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Massillon, OH
- NPI 1336142207
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.