Great River Orthopaedic Surgery & Sports Medicine PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

35185 Issued in IA

Legal business name

GREAT RIVER ORTHOPAEDIC SURGERY & SPORTS MEDICINE PC

Practice address

1225 S Gear Ave
Ste 256
West Burlington, IA 52655-1691

Phone

(319) 752-1700

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gregory R Hill, MDNPI 1457322745

Title

President

Phone

(319) 752-1700

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Rex Hill, MD

  • Orthopaedic Surgery Physician
  • Fort Dodge, IA
  • NPI 1457322745
  NPD (past) Authorized official
• Mark L Woodard, D.O.

  • Cardiovascular Disease Physician
  • West Burlington, IA
  • NPI 1114975141
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578646196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 S GEAR AVE",
            "address_2": "STE 256",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551691",
            "telephone_number": "319-752-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 S GEAR AVE",
            "address_2": "STE 256",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551691",
            "telephone_number": "319-752-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT RIVER ORTHOPAEDIC SURGERY & SPORTS MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-752-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "35185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1290973",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "240008",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD0905",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS IOWA",
            "identifier": "38470",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Koushik Ghosh
• Angela Rae Gibbar, CRNA
• Scott M Gleason, D.O., MSC.
• Great River Medical Services (Burlington Area Family Practice Center)
• Great River Oncology, P.C.
• Great River Women'S Health
• Anne Catharine Grieves, DO
• Mark Grieves, CRNA, DNAP
• Kenzie Renee Griffin
• Roger Griswold

• Orthopaedic Surgery Physician in West Burlington, IA
• Providers in West Burlington, IA by specialty
• Orthopaedic Surgery Physician in Iowa

• 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.