David A Grekin, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

4301036713 Issued in MI

Practice address

4020 New Vision Dr
Fort Wayne, IN 46845-1737

Phone

(260) 423-2567

Fax

(260) 420-2415

NPI assigned

Aug 30, 2006

Last updated

Oct 6, 2023By the provider in NPPES

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

Electronic endpoints 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mid-Michigan Dermatology, PLLC

  • Procedural Dermatology Physician
  • Lansing, MI
  • NPI 1093899510
  NPD
• Elizabeth Mitchell Dugan MD LLC

  • Specialist
  • Silver Spring, MD
  • NPI 1588869226
  NPD (past)
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Marquette, MI
  • NPI 1891125290
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1316057045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 NEW VISION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451737",
            "telephone_number": "260-423-2567",
            "fax_number": "260-420-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREKIN",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301036713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DG4252@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "4020 New Vision Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DG4252@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "305 E Eisenhower Pkwy Ste 320",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481083348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DG4252@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "990 W Ann Arbor Trl Ste 205",
            "city": "Plymouth",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481701686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DG4252@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "25500 Meadowbrook Rd Ste 180",
            "city": "Novi",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483751882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adam M Gregory, M.D.
• Jillian Moreen Gregory
• Kurt Howard Gregory, L.M.F.T.
• Patrick B Gregory, MD
• Garrett R Gregson, DNP
• Jade Grepke
• Ashleigh Gressley
• Gret Machlan LLC
• Aimie D Greulach, NP
• Ian Greutman

• Dermatology Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Dermatology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.