Individual provider Active NPI

Sara Elizabeth Greb, PA-C

  • Physician Assistant
  • Washington, PA
National Provider Identifier
1407605975
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1211507 Issued in PA
Practice address
2112 N Franklin Dr Ste 2
Washington, PA 15301-5874
Phone
(724) 223-0579
NPI assigned
May 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1211507 PA Primary

Addresses

Primary practice location

2112 N Franklin Dr Ste 2
Washington, PA 15301-5874

Mailing address

541 Jenne Dr
Pittsburgh, PA 15236-2424
Phone (412) 335-9965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1211507PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Western Pennsylvania Oral and Maxillofacial Surgery PC CurrentSince May 19, 2024 Accepting new patients

Locations

2112 N Franklin Dr
Ste 2
Washington, PA 15301
Phone (724) 223-0579

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1407605975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 JENNE DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152362424",
            "telephone_number": "412-335-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 N FRANKLIN DR STE 2",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153015874",
            "telephone_number": "724-223-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREB",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "1211507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.