Active NPI
Jennifer Ann Greer, M.D.
- Plastic Surgery Physician
- Mentor, OH
National Provider Identifier
1285838664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 35.099157
- Practice address
- 6101 Heisley Rd
Mentor, OH 44060-1837 - Phone
- (440) 974-8577
- Fax
- (440) 579-4099
- NPI assigned
- Jun 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 2007015905 | MO | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 2011001456 | MO | |
| Plastic Surgery Physician | 208200000X | 35.099157 | OH | Primary |
Addresses
Primary practice location
6101 Heisley Rd
Mentor, OH 44060-1837
Mailing address
6101 Heisley Rd
Mentor, OH 44060-1837
Phone (440) 974-8577
Other names 1
- Jennifer Ann Grosser
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 27, 2025 through Jan 27, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007015905 | MO | MD | Student in an Organized Health Care Education/Training Program |
| 2011001456 | MO | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- jgreer218863@ehrdirect.uhhospitals.org
- https://fhir4.healow.com/fhir/r4/BIIJBA/Endpoint/BIIJBA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586908800000",
"number": "1285838664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 HEISLEY RD",
"city": "MENTOR",
"state": "OH",
"postal_code": "440601837",
"telephone_number": "440-974-8577",
"fax_number": "440-974-2961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6101 HEISLEY RD",
"city": "MENTOR",
"state": "OH",
"postal_code": "440601837",
"telephone_number": "440-974-8577",
"fax_number": "440-579-4099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREER",
"first_name": "JENNIFER",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-12",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MO",
"license": "2007015905",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MO",
"license": "2011001456",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "OH",
"license": "35.099157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "GROSSER",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.