Active NPI
Stephen Greer DO Inc
- Vascular Surgery Physician
- Dayton, OH
National Provider Identifier
1558361329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 34-00-3010
- Legal business name
- STEPHEN GREER DO INC
- Practice address
- 131 N Ludlow St
Suite 1125
Dayton, OH 45402-1116 - Phone
- (937) 223-2911
- Fax
- (937) 461-5102
- NPI assigned
- Jul 22, 2005
- Last updated
- Aug 22, 2020
- 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
- Stephen Greer, DO
- Title
- President/Surgeon
- Phone
- (937) 223-2911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 34-00-3010 | OH | Primary |
Addresses
Primary practice location
131 N Ludlow St
Suite 1125
Dayton, OH 45402-1116
Mailing address
131 N Ludlow St
Suite 1125
Dayton, OH 45402-1116
Phone (937) 223-2911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0682480 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
7677 Yankee St
Ste 120
Dayton, OH 45459
Phone (937) 223-2911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1558361329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 N LUDLOW ST",
"address_2": "SUITE 1125",
"city": "DAYTON",
"state": "OH",
"postal_code": "454021116",
"telephone_number": "937-223-2911",
"fax_number": "937-461-5102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 N LUDLOW ST",
"address_2": "SUITE 1125",
"city": "DAYTON",
"state": "OH",
"postal_code": "454021116",
"telephone_number": "937-223-2911",
"fax_number": "937-461-5102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN GREER DO INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GREER",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "PRESIDENT/SURGEON",
"authorized_official_telephone_number": "937-223-2911",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "OH",
"license": "34-00-3010",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0682480",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.