DR. STACEY GREENERT (NPI# 1215087895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215087895 |
Entity Type | Individual |
Full Name | DR. STACEY GREENERT |
Credential | MD |
Practice Address |
632 Vine Street Suite 820 Cincinnati OH 45202 |
Practice Telephone | 5134215131 |
Practice Fax Number | 5134215146 |
Enumeration Date | 2007-01-12 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
35029353G | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 03347 | 05 |
Street Address |
632 VINE STREET SUITE 820 |
City | CINCINNATI |
State | OH |
Zip Code | 45202 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811558067 | Courtney Stepp | Social Worker | 907 Vine St, Cincinnati, OH 45202 | 2019-06-27 |
1447726427 | Mark Kirby | Optometrist | 2045 Gilbert Avenue, Cincinnati, OH 45202 | 2018-10-17 |
1497233100 | Michael Mcmanus | Specialist/Technologist, Other | 8118 Corporate Way Suite 212, Evokes LLC, Cincinnati, OH 45202 | 2018-08-03 |
1891293924 | Samuel Thomas Tedtman | Specialist/Technologist | Great American Ball Park, 100 Joe Nuxhall Way, Cincinnati, OH 45202 | 2018-01-23 |
1013431006 | Shannon Kiniyalocts | Social Worker | 2208 Reading Road, Cincinnati, OH 45202 | 2017-08-01 |
1760937353 | Joyce Ann Thieman | Social Worker | 504 Hiberty Hill, Cincinnati, OH 45202 | 2016-08-24 |
1659825156 | Alicia Carver | Counselor | 911 Sycamore St # 400, Cincinnati, OH 45202 | 2016-08-12 |
1861836546 | Jeffrey Herbert Finke | Pharmacist | 945 Parkside Place, Apt 5, Cincinnati, OH 45202 | 2013-04-24 |
1942597141 | Kristin Erin Pletcher | Physician Assistant | 644 Eden Park Drive, Cincinnati, OH 45202 | 2011-07-08 |
1144514654 | James A Kirby IIi | Pharmacist | 555 Race St, Cincinnati, OH 45202 | 2011-06-01 |
Find all providers in zip 45202 |
Taxonomy Code | 207RA0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Allergy & Immunology |
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588620850 | University Internal Medicine Associates, Inc. | Internal Medicine | 222 Piedmont Ave, Ste 6000, Cincinnati, OH 45219-4231 | 2006-04-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699856559 | Masood Ahmad | Internal Medicine | 6964 Tylersville Rd, West Chester, OH 45069 | 2006-10-18 |
1437167814 | Leon Neiman | Internal Medicine | 3500 W Market St Ste 3, Fairlawn, OH 44333-2663 | 2006-08-03 |
1447637954 | Margaret Kuder | Internal Medicine | 9500 Euclid Ave # A90, Cleveland, OH 44195-0001 | 2015-05-05 |
1629245949 | Npcs, Inc | Internal Medicine | 6847 N Chestnut St, Suite 325, Ravenna, OH 44266-3929 | 2008-05-15 |
1720200801 | Inderprit Singh | Internal Medicine | 6847 N Chestnut St, Suite 310, Ravenna, OH 44266-3929 | 2007-05-02 |
1689753105 | Huy Ngoc Dang | Internal Medicine | 400 Austin Ave Nw, Massillon, OH 44646-3554 | 2006-11-03 |
1871506147 | Charity C. Fox | Internal Medicine | 915 Olentangy River Rd, Suite 400, Columbus, OH 43212-3153 | 2006-08-15 |
1184606725 | David W Hunter | Internal Medicine | 3425 Executive Pkwy, Ste 107, Toledo, OH 43606-1326 | 2005-11-18 |
1710969985 | Richard J Wiseley | Internal Medicine | 3425 Executive Pkwy, Ste 107, Toledo, OH 43606-1326 | 2005-11-15 |
City | CINCINNATI |
Zip Code | 45202 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.