DR. JACK LEELAND GREIDER JR. (NPI# 1316038615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316038615 |
| Entity Type | Individual |
| Full Name | DR. JACK LEELAND GREIDER JR. |
| Credential | M.D. |
| Practice Address |
6100 Kennerly Rd Suite 202 Jacksonville FL 32216-4368 |
| Practice Telephone | 9047335550 |
| Practice Fax Number | 9047335515 |
| Mailing Telephone | 9047335550 |
| Mailing Fax Number | 9047335515 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2011-10-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
ME27693 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 37943300 | 05 |
| Street Address |
6100 KENNERLY RD SUITE 202 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-4368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487648770 | John C Crick | Orthopaedic Surgery | 6100 Kennerly Rd, Suite 101, Jacksonville, FL 32216-4368 | 2005-09-01 |
| 1558600817 | Gina Brunetti | Physical Therapist | 6100 Kennerly Rd, Jacksonville, FL 32216-4368 | 2013-02-06 |
| 1821332693 | Mark A Snyder | Physical Therapy Assistant | 6100 Kennerly Rd, Suite 201, Jacksonville, FL 32216-4368 | 2012-11-19 |
| 1063764041 | Kathryn Page Binninger | Occupational Therapist | 6100 Kennerly Rd, Suite #204, Jacksonville, FL 32216-4368 | 2012-10-15 |
| 1205115458 | Elizabeth Cooper | Physical Therapist | 6100 Kennerly Rd, Suite 201, Jacksonville, FL 32216-4368 | 2011-08-05 |
| 1689837627 | Erika A. Garrison | Physician Assistant | 6100 Kennerly Rd, Bahri Orthopedics, Jacksonville, FL 32216-4368 | 2008-07-09 |
| 1275710162 | Gregory Russell Marshall | Occupational Therapist | 6100 Kennerly Rd, Suite 203, Jacksonville, FL 32216-4368 | 2008-01-23 |
| 1881809267 | Southeastern Hand Rehabilitation Inc | Durable Medical Equipment & Medical Supplies | 6100 Kennerly Rd, Suite 203, Jacksonville, FL 32216-4368 | 2007-05-11 |
| 1710192844 | David Lofton Ellerbe | Physician Assistant | 6100 Kennerly Rd, Suite 202, Jacksonville, FL 32216-4368 | 2007-05-11 |
| 1780778308 | Fady A. El-bahri | Orthopaedic Surgery | 6100 Kennerly Rd, Suite 101, Jacksonville, FL 32216 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487648770 | John C Crick | Orthopaedic Surgery | 6100 Kennerly Rd, Suite 101, Jacksonville, FL 32216-4368 | 2005-09-01 |
| 1144307224 | Georgia Lee Gill | Orthopaedic Surgery | 2549 Park St, Jacksonville, FL 32204-4517 | 2006-11-01 |
| 1174615918 | Southeastern Hand Center, P.a. | Orthopaedic Surgery | 6100 Kennerly Rd, Suite 202, Jacksonville, FL 32216-4368 | 2006-09-29 |
| 1932204989 | Jacksonville Orthopaedic Institute Inc | Orthopaedic Surgery | 14540 Old Saint Augustine Rd, Suite 2201, Jacksonville, FL 32258-7418 | 2006-09-14 |
| 1548279326 | Christopher R. Goll | Orthopaedic Surgery | 10475 Centurion Pkwy N, Suite 220, Jacksonville, FL 32256-5003 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467943787 | Center for Bone & Joint Surgery of The Palm Beaches, P.a. | Orthopaedic Surgery | 582 Nw University Blvd Ste 100, Port St Lucie, FL 34986-2264 | 2018-05-22 |
| 1851630057 | Sacred Heart Hospital of Pensacola | Orthopaedic Surgery | 4551-a North Davis Hwy, Pensacola, FL 32503-2782 | 2013-02-07 |
| 1376808188 | Sonya Khurana | Orthopaedic Surgery | 1150 Campo Sano Ave Fl 1, Coral Gables, FL 33146-1174 | 2012-07-08 |
| 1962766576 | Sarasota Orthopedic Associates, LLC | Orthopaedic Surgery | 6230 University Pkwy, Suite 203, Lakewood Ranch, FL 34240-8604 | 2012-06-28 |
| 1194091488 | Giacomo Luis Cappelleti | Orthopaedic Surgery | 8905 Sw 87th Ave Ste 100, Miami, FL 33176-2210 | 2012-03-30 |
| 1053681791 | Kathryn Anne Henderson Heim | Orthopaedic Surgery | 2850 N Federal Hwy, 2nd Floor, Lighthouse Point, FL 33064 | 2012-01-11 |
| 1720378144 | Orthopaedic Associates Usa, Pa | Orthopaedic Surgery | 4765 Sw 148th Avenue, Suite 401, Davie, FL 33330-2128 | 2011-04-19 |
| 1861781239 | Karan A Desai | Orthopaedic Surgery | 17000 Porter Rd Ste 205, Winter Garden, FL 34787-8915 | 2011-04-06 |
| 1598085961 | Ajul Shah | Orthopaedic Surgery | 603 7th St S Ste 440, Saint Petersburg, FL 33701 | 2010-06-08 |
| 1538484985 | The Ouellette Group Physicians for The Hand, P.l. | Orthopaedic Surgery | 7445 Sw 127th St, Miami, FL 33156-5337 | 2010-03-29 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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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.