Jessica Greco, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO155807 Issued in OR

Practice address

19579 Simpson Ave
Bend, OR 97702-9014

Phone

(541) 668-5848

NPI assigned

Jan 8, 2007

Last updated

May 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Primecare of NW FL

  dba PrimeCare

  • Family Medicine Physician
  • Panama City, FL
  • NPI 1801940549
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1679621718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19579 SIMPSON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977029014",
            "telephone_number": "551-668-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19579 SIMPSON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977029014",
            "telephone_number": "541-668-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRECO",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO155807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hans Peter Gray, D.D.S.
• Jeffrey James Gray, PH.D.
• Keshia Gray
• Kyle Gray, PA-C
• Great Smile Dental of Bend LLC (Aesthetic Dentistry of Bend)
• Green Willow Acupuncture, LLC
• Alexander Michael Green, DPT, PT
• Derek A Green, DPT
• Nancy Green, MS, OTR/L, CAPS
• Vanessa Green, LMT

• Family Medicine Physician in Bend, OR
• Providers in Bend, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.