Organization Active NPI

Stephen Greer DO Inc

  • Vascular Surgery Physician
  • Dayton, OH
National Provider Identifier
1558361329
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
34-00-3010 Issued in OH
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0682480MedicaidOH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.