Provider Demographics
NPI:1912098310
Name:GREER ORTHOTICS AND PROSTHETICS INC
Entity Type:Organization
Organization Name:GREER ORTHOTICS AND PROSTHETICS INC
Other - Org Name:GREER ORTHOPEDICS, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMESH
Authorized Official - Middle Name:
Authorized Official - Last Name:DUBEY
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:901-359-2133
Mailing Address - Street 1:2001 CHARLOTTE AVENUE
Mailing Address - Street 2:STE 202
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203
Mailing Address - Country:US
Mailing Address - Phone:615-327-0231
Mailing Address - Fax:615-327-0238
Practice Address - Street 1:2001 CHARLOTTE AVENUE
Practice Address - Street 2:STE 202
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203
Practice Address - Country:US
Practice Address - Phone:615-327-0231
Practice Address - Fax:615-327-0238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
0822738OtherCIGNA
0009533OtherBLUE CROSS BLUE SHIELD
2100166OtherAETNA
TN3500631Medicaid
2100166OtherAETNA