Individual provider Active NPI

Melissa Kurkjian Greer, MD/MPH

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1881611382
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101254312 Issued in VA
Practice address
1950 Ephriham Ave
Fort Worth, TX 76164-6670
Phone
(817) 813-7075
NPI assigned
Jul 17, 2006
Last updated
Jul 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101254312 VA Primary

Addresses

Primary practice location

1950 Ephriham Ave
Fort Worth, TX 76164-6670

Mailing address

30 W Monroe St Ste 1200
Chicago, IL 60603-2420

Other practice location 1

554 Keily Street
Jacksonville, FL 32212
Phone (757) 953-7550

Other practice location 2

4115 E Lancaster Ave
Fort Worth, TX 76103-3614
Phone (817) 796-7370

Other practice location 3

2360 Gus Thomasson Rd
Dallas, TX 75228
Phone (214) 301-7071

Other practice location 4

1515 S Buckner Blvd Ste 141
Dallas, TX 75217-1794
Phone (214) 305-7065

Other practice location 5

2110 N Galloway Ave Ste 116
Mesquite, TX 75150-5737
Phone (972) 426-5426

Other names 1

  • Dr. Melissa Ann Kurkjian Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1881611382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W MONROE ST STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606032420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 EPHRIHAM AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761646670",
            "telephone_number": "817-813-7075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "554 Keily Street",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32212",
            "country_code": "US",
            "telephone_number": "757-953-7550",
            "fax_number": "757-953-7560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4115 E Lancaster Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761033614",
            "country_code": "US",
            "telephone_number": "817-796-7370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2360 Gus Thomasson Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75228",
            "country_code": "US",
            "telephone_number": "214-301-7071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 S Buckner Blvd Ste 141",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752171794",
            "country_code": "US",
            "telephone_number": "214-305-7065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2110 N Galloway Ave Ste 116",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751505737",
            "country_code": "US",
            "telephone_number": "972-426-5426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREER",
        "first_name": "MELISSA",
        "middle_name": "KURKJIAN",
        "name_prefix": "Dr.",
        "credential": "MD/MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101254312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "KURKJIAN",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "MD/MPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.