Organization Active NPI

Robert C Greer IV,D.O.,P.a.

  • Primary Care Clinic/Center
  • Lake Park, FL
National Provider Identifier
1427349109
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
OS3909 Issued in FL
Legal business name
ROBERT C GREER IV,D.O.,P.A.
Practice address
624 U.S.Highway #1
Lake Park, FL 33403
Phone
(561) 844-2464
Fax
(561) 844-1250
NPI assigned
Apr 28, 2011
Last updated
Apr 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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

Authorized official

Name
Dr. Robert Collins Greer IV, D.O.
Title
Owner
Phone
(561) 844-2464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X OS3909 FL Primary

Addresses

Primary practice location

624 U.S.Highway #1
Lake Park, FL 33403

Mailing address

624 U.S.Highway #1
Lake Park, FL 33403
Phone (561) 844-2464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110506000283 FL Part B Supplier - Clinic/Group Practice 0840475893 Receives reassigned benefits from 2 practitioners
Practice locations: Lake Park, FL

National Provider Directory

National Provider Directory

Locations

624 US Highway 1
West Palm Beach, FL 33403
Phone (561) 844-2464

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1427349109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 U.S.HIGHWAY #1",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "33403",
            "telephone_number": "561-844-2464",
            "fax_number": "561-844-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 U.S.HIGHWAY #1",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "33403",
            "telephone_number": "561-844-2464",
            "fax_number": "561-844-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C GREER IV,D.O.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "COLLINS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-844-2464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "OS3909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.