Provider Demographics
NPI:1295885853
Name:GREINER, ROBERT FREDERIC II (DO)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:FREDERIC
Last Name:GREINER
Suffix:II
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
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:855-862-9292
Practice Address - Street 1:19101 E VALLEY VIEW PKWY
Practice Address - Street 2:SUITE 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
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006015219207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200616320AMedicaid
MO1295885853Medicaid
KS200616320BMedicaid
MOP00734526Medicare PIN
KS200616320BMedicaid