Active NPI
Mark Thomas Griesemer, D.C.
- Chiropractor
- Greenwood, IN
National Provider Identifier
1871559690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08001713A
- Practice address
- 223 S State Road 135
Greenwood, IN 46142-1421 - Phone
- (317) 881-9792
- Fax
- (317) 882-1766
- NPI assigned
- Apr 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08001713A | IN | Primary |
Addresses
Primary practice location
223 S State Road 135
Greenwood, IN 46142-1421
Mailing address
223 S State Road 135
Greenwood, IN 46142-1421
Phone (317) 881-9792
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7165004 | Other | IN | AETNA PIN |
| 000000207597 | Other | IN | ANTHEM PIN |
| 200223900 | Medicaid | IN |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311552000000",
"number": "1871559690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 S STATE ROAD 135",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461421421",
"telephone_number": "317-881-9792",
"fax_number": "317-882-1766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 S STATE ROAD 135",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461421421",
"telephone_number": "317-881-9792",
"fax_number": "317-882-1766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIESEMER",
"first_name": "MARK",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2011-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08001713A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN",
"identifier": "7165004",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000207597",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200223900",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.