Active NPI
Justin Stuart Greenlee, D.O.
- Family Medicine Physician
- West Union, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34008782
- Practice address
- 90 Cic Blvd
West Union, OH 45693-8024 - Phone
- (937) 544-8989
- Fax
- (937) 544-5659
- NPI assigned
- Jun 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34008782 | OH | Primary |
Addresses
Primary practice location
90 Cic Blvd
West Union, OH 45693-8024
Mailing address
1735 27TH St Ste B06
Portsmouth, OH 45662-2681
Phone (740) 356-8681
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2761382 | Medicaid | OH | |
| 7100020960 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | justin.greenlee@somc.medicity.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ohio University, College of Osteopathic Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1248 Kinneys LN
Portsmouth, OH 45662-2927
Phone (740) 356-7290
1805 27TH St
Portsmouth, OH 45662-2640
Phone (740) 356-8117
90 Cic Blvd
West Union, OH 45693-8024
Phone (937) 544-8989
Hospital & facility affiliations
- Southern Ohio Medical Center
- Adams County Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.59 of 100
- Quality
- 59.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.16
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34008782 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somc Medical Care Foundation, Inc. | Current | Accepting new patients | |
| Somc Medical Care Foundation, Inc. | Family Medicine | Current | Accepting new patients |
| Somc Medical Care Foundation, Inc. | Current | Accepting new patients |
Locations
10 Thomas Hollow Rd
Lucasville, OH 45648
Phone (740) 259-5699
1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942
1735 27th St
Ste 302
Portsmouth, OH 45662
Phone (740) 355-8562
1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000
1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131
90 Cic Blvd
West Union, OH 45693
Phone (937) 544-8989
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Portsmouth, OH
- NPI 1457467227
-
- Diagnostic Radiology Physician
- Portsmouth, OH
- NPI 1366686230
-
- Anesthesiology Physician
- Portsmouth, OH
- NPI 1629247010
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Seaman, OH
- NPI 1851946909
-
- General Acute Care Hospital
- Portsmouth, OH
- NPI 1053342816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608595200000",
"number": "1467655647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 27TH ST STE B06",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456622681",
"telephone_number": "740-356-8681",
"fax_number": "740-353-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 CIC BLVD",
"city": "WEST UNION",
"state": "OH",
"postal_code": "456938024",
"telephone_number": "937-544-8989",
"fax_number": "937-544-5659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENLEE",
"first_name": "JUSTIN",
"middle_name": "STUART",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-06",
"last_updated": "2020-12-22",
"certification_date": "2020-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34008782",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2761382",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100020960",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "justin.greenlee@somc.medicity.net",
"affiliation": "N",
"address_1": "90 Cic Blvd",
"city": "West Union",
"state": "OH",
"country_code": "US",
"postal_code": "456938024",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Union, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.