Provider Demographics
NPI:1780649954
Name:GREER SAVIN MDS INC
Entity Type:Organization
Organization Name:GREER SAVIN MDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:GREER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:760-745-2273
Mailing Address - Street 1:PO BOX 463074
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92046-3074
Mailing Address - Country:US
Mailing Address - Phone:760-745-2273
Mailing Address - Fax:760-745-7957
Practice Address - Street 1:225 EAST 2ND AVE
Practice Address - Street 2:SUITE 350
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025
Practice Address - Country:US
Practice Address - Phone:760-745-2273
Practice Address - Fax:760-745-7957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-19
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG120422086S0129X
CAA226002086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0077570Medicaid
CAGR0077570Medicaid