NPIMap

Individual provider Active NPI

Kenneth Robert Greer, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Pittsburgh, PA
National Provider Identifier
1336265602
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
MD041522E Issued in PA
Practice address
1400 Locust St
Suite 4230
Pittsburgh, PA 15219-5114
Phone
(412) 232-7341
Fax
(412) 232-5957
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD041522E PA Primary

Addresses

Primary practice location

1400 Locust St
Suite 4230
Pittsburgh, PA 15219-5114

Mailing address

1509 Ashbury LN
Pittsburgh, PA 15237-6637
Phone (412) 366-2050

Other identifiers 1

IdentifierTypeStateIssuer
0011804870029MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090422000093 OH Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Emergency Medicine 5597740548 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Emergency Medicine
Education
Saint Louis University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Specialty Hospital - Zanesville IncGroup PAC ID 0042121808, 10 clinicians
Genesis Medical Group, LLCGroup PAC ID 7719040385, 265 clinicians

Practice addresses (Care Compare)

2000 Tamarack Rd
FL 2
Newark, OH 43055-1183
Phone (220) 564-2600

2951 Maple Ave
Zanesville, OH 43701-1406
Phone (740) 454-4000

945 Bethesda Dr
Zanesville, OH 43701-1880

Hospital & facility affiliations

  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Somc Medical Care Foundation, Inc. CurrentSince May 10, 2012 Accepting new patients
Genesis Medical Group LLC CurrentSince Feb 1, 2009 Accepting new patients
Select Specialty Hospital - Zanesville Inc CurrentSince Apr 3, 2017 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince May 10, 2012 Accepting new patients
Genesis Medical Group, LLC CurrentSince Feb 1, 2009 Accepting new patients
Genesis Healthcare System Past Accepting new patients
Select Specialty Hospital - Zanesville Inc PastSince Apr 3, 2017 Accepting new patients
Mercy Critical Care Associates P.C. Critical Care Medicine PastSince May 11, 2007 Accepting new patients

Locations

2000 Tamarack Rd
Fl 2
Newark, OH 43055
Phone (220) 564-2600

1735 27th St
Ste 302
Portsmouth, OH 45662
Phone (740) 355-8562

1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131

945 Bethesda Dr
Ste 260
Zanesville, OH 43701
Phone (740) 450-4180

945 Bethesda Dr
Ste 200
Zanesville, OH 43701
Phone (740) 454-4788

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1336265602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 ASHBURY LN",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152376637",
            "telephone_number": "412-366-2050",
            "fax_number": "412-366-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LOCUST ST",
            "address_2": "SUITE 4230",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152195114",
            "telephone_number": "412-232-7341",
            "fax_number": "412-232-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "KENNETH",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "MD041522E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011804870029",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.