DR. STACEY GREENERT


Address: 632 Vine Street, Suite 820, Cincinnati, OH 45202
Phone: 5134215131

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0201X Internal Medicine
Specialization: Allergy & Immunology
35029353G OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 03347 05

Office Location

Street Address 632 VINE STREET
SUITE 820
City CINCINNATI
State OH
Zip Code 45202

Providers in the same zip code

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 Information

Taxonomy Code 207RA0201X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Allergy & Immunology

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City CINCINNATI
Zip Code 45202

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Dataset Information

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.

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