Active NPI
Susan B Greger, M.D.
- Family Medicine Physician
- Phoenix, AZ
National Provider Identifier
1760447387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 47822
- Practice address
- 6601 W Thomas Rd
Phoenix, AZ 85033-5700 - Phone
- (602) 243-7277
- Fax
- (623) 247-9742
- NPI assigned
- Apr 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 61092627 1205 | UT | |
| Family Medicine Physician | 207Q00000X | 47822 | AZ | Primary |
Addresses
Primary practice location
6601 W Thomas Rd
Phoenix, AZ 85033-5700
Mailing address
2702 N 3Rd St Ste 4020
Phoenix, AZ 85004-4608
Phone (602) 243-7277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 870617263004/D6635 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47822 | AZ | MD | Family Medicine Physician |
| 61092627 1205 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Park Health Center - Dental | Past | Accepting new patients | |
| Mountain Park Health Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1669878567
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1710146188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431561600000",
"number": "1760447387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2702 N 3RD ST STE 4020",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850044608",
"telephone_number": "602-243-7277",
"fax_number": "602-323-3399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 W THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850335700",
"telephone_number": "602-243-7277",
"fax_number": "623-247-9742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGER",
"first_name": "SUSAN",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-18",
"last_updated": "2015-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "61092627 1205",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "47822",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "870617263004/D6635",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.