Active NPI
Robert C Greer IV,D.O.,P.a.
- Primary Care Clinic/Center
- Lake Park, FL
National Provider Identifier
1427349109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- OS3909
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Lake Park, FL
- NPI 1053319533
-
- General Practice Physician
- Lake Park, FL
- NPI 1134483282
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.