Individual provider Active NPI

John Joseph Grechus, M.D.

  • Obstetrics & Gynecology Physician
  • Farmington, MO
National Provider Identifier
1831171560
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
R5F25 Issued in MO
Practice address
1103 Weber Rd Ste 203
Farmington, MO 63640-3302
Phone
(573) 756-9107
Fax
(573) 756-9630
NPI assigned
Nov 17, 2005
Last updated
Dec 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X R5F25 MO Primary

Addresses

Primary practice location

1103 Weber Rd Ste 203
Farmington, MO 63640-3302

Mailing address

1103 Weber Rd Ste 203
Farmington, MO 63640-3302
Phone (573) 756-9107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111227000533 MO Practitioner - Obstetrics/Gynecology 1254470438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Missouri, Kansas City, School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Mines Health CenterGroup PAC ID 3072598143, 19 clinicians

Practice addresses (Care Compare)

1 Southtowne Dr
Potosi, MO 63664-5729
Phone (573) 438-9355

PO Box
Suite 761
Potosi, MO 63664-0761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R5F25MOMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Mines Health Center CurrentSince Nov 1, 2018 Accepting new patients
Great Mines Health Center CurrentSince Nov 1, 2018 Accepting new patients

Locations

1 Southtowne Dr
Potosi, MO 63664
Phone (573) 438-8401

Interoperability endpoints

  • Direct secure messaging: john.grechus@gmhc.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1831171560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 WEBER RD STE 203",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403302",
            "telephone_number": "573-756-9107",
            "fax_number": "573-756-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 WEBER RD STE 203",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403302",
            "telephone_number": "573-756-9107",
            "fax_number": "573-756-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRECHUS",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "R5F25",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

Verify at the official NPI Registry.