Provider Demographics
NPI:1629255997
Name:GREINER PODIATRY INC
Entity Type:Organization
Organization Name:GREINER PODIATRY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:GREINER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:614-492-9922
Mailing Address - Street 1:3713 S HIGH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43207-4011
Mailing Address - Country:US
Mailing Address - Phone:614-492-9922
Mailing Address - Fax:614-492-9290
Practice Address - Street 1:3713 S HIGH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43207-4011
Practice Address - Country:US
Practice Address - Phone:614-492-9922
Practice Address - Fax:614-492-9290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36002862213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty