MEDICARE: GREINER PODIATRY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	36002862	OH

General Provider Information

NPI Number	:	1629255997
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREINER PODIATRY INC

Provider Business Mailing Address
First Line	:	3713 S HIGH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43207-4011
Country	:	US
Telephone Number	:	614-492-9922
Fax Number	:	614-492-9290

Provider Business Practice Location Address
First Line	:	3713 S HIGH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43207-4011
Country	:	US
Telephone Number	:	614-492-9922
Fax Number	:	614-492-9290

Authorized Official
Title or Position	:	PODIATRIST OWNER
Name	:	DAVID CHARLES GREINER
Credential	:	D.P.M.
Telephone Number	:	614-492-9922

Provider Enumeration Date	:	01/29/2008
Last Update Date	:	01/29/2008

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