Provider Demographics
NPI:1659806453
Name:GREINER ORTHOPEDICS LLC
Entity Type:Organization
Organization Name:GREINER ORTHOPEDICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:GREINER
Authorized Official - Suffix:II
Authorized Official - Credentials:DO
Authorized Official - Phone:816-317-5070
Mailing Address - Street 1:4941 NW CANYON RD
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064-2066
Mailing Address - Country:US
Mailing Address - Phone:816-317-5070
Mailing Address - Fax:816-205-8282
Practice Address - Street 1:19101 E VALLEY VIEW PKWY
Practice Address - Street 2:SUTIE B
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-6904
Practice Address - Country:US
Practice Address - Phone:816-317-5070
Practice Address - Fax:816-205-8282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-29
Last Update Date:2017-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006015219207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty