Carol Ann Antonelli-Greco, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1004 Issued in WV

Practice address

109 Plaza Dr
Saint Clairsville, OH 43950-7713

Phone

(740) 695-2090

Fax

(740) 695-4116

NPI assigned

Mar 22, 2006

Last updated

Apr 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Interoperability endpoints

• Direct secure messaging: antonelli-greco.carol.009.0480018@ohvmc.meditab.direct-ci.com

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1972562486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 PLAZA DR",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439507713",
            "telephone_number": "740-695-2090",
            "fax_number": "740-695-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PLAZA DR",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439507713",
            "telephone_number": "740-695-2090",
            "fax_number": "740-695-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONELLI-GRECO",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0382688",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0052415000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Amadu
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• Lisa Lynn Amos
• Erika Deziray Anderson
• Beth Ann Andes, PCC
• Apollo Medical Management
• Judith Delores Aracich, LISW-S
• Helena Mara Araps, LSW, MSSA
• Deborah Araujo
• Cassandra Armbruster

• Family Medicine Physician in Saint Clairsville, OH
• Providers in Saint Clairsville, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.