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NPI Code Detail

MEDICARE: DR. STEPHEN GREER DO

MEDICARE: DR. STEPHEN GREER DO
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
1208600000XSurgery PhysicianA-1348-05NM
2208600000XSurgery Physician34003010OH
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician649SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306868666
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN GREER DO
Provider Business Mailing Address
First Line : 4351 E LOHMAN AVE STE 403
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-8261
Country : US
Telephone Number : 575-556-1581
Fax Number : 575-556-1583
Provider Business Practice Location Address
First Line : 1506 SPRING ST
Second Line :
City : GREENWOOD
State : SC
Zip : 29646-4071
Country : US
Telephone Number : 864-725-7900
Fax Number : 864-725-7910
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 03/19/2026

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