Anthony V Greco, M.D., F.A.A.D.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

J9067 Issued in TX

Practice address

108 Pleasant St
Mount Pleasant, TX 75455-5322

Phone

(903) 577-8878

Fax

(903) 577-8936

NPI assigned

Jul 28, 2005

Last updated

Aug 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: avgreco@dermatologycenter.ssdirect.aprima.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Medical & Surgical Dermatology Center of Northeast Texas, P.a.

  • Dermatology Physician
  • Mount Pleasant, TX
  • NPI 1255436135
  Medicare reassignment NPD Authorized official
• Dermatology and Skin Cancer Clinic PA

  • MOHS-Micrographic Surgery Physician
  • Longview, TX
  • NPI 1912098393

  Dermatology

  NPD

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1427058619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 PLEASANT ST",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754555322",
            "telephone_number": "903-577-8878",
            "fax_number": "903-577-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 PLEASANT ST",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754555322",
            "telephone_number": "903-577-8878",
            "fax_number": "903-577-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRECO",
        "first_name": "ANTHONY",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.A.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "J9067",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "J9067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "8A2630",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1165615-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX STATE LICENCE",
            "identifier": "J9067",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "avgreco@DermatologyCenter.ssdirect.aprima.com",
            "affiliation": "N",
            "endpointDescription": "direct mail doctor office to doctor office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "108 Pleasant St",
            "city": "Mount Pleasant",
            "state": "TX",
            "country_code": "US",
            "postal_code": "754555322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew Gesell, DDS
• Mark James Glanzer, OD
• Grace Community Health LLC Inc.
• Christina Graham, CDCES
• Lenora Patterson Graziani, CRNA
• Jacob Green, FNP-C
• Johnny L Greene, DDS
• Gregory Zarcone MD, PLLC (Medikids)
• Loretta Griffin, RN, BSN
• Kate Elizabeth Groenhagen, PT, DPT

• MOHS-Micrographic Surgery Physician in Mount Pleasant, TX
• Providers in Mount Pleasant, TX by specialty
• MOHS-Micrographic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.