SAMUEL DOUGLAS GREESON MD
NPI 1760565402
Preventive Medicine - Occupational Medicine in Fort Wayne, IN

Q: What is Samuel Greeson's NPI number?

The NPI number for Samuel Greeson is 1760565402. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Q: What is Samuel Greeson's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Greeson was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 24, 2006

7333 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 458-3830(260) 458-3831 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2021, Jan 8, 2021 (2 updates tracked since 2021).

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About Samuel Douglas Greeson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL DOUGLAS GREESON MD (NPI 1760565402) is an individual occupational medicine provider in Fort Wayne, Indiana, licensed in Indiana (01028597A) and active in the NPI registry since October 2006. He maintains a secondary practice location in Lafayette.

NPPES Registry Identity

NPI1760565402

Entity TypeIndividualMale

Primary Taxonomy2083X0100X

Provider Legal NameSAMUEL DOUGLAS GREESONCredential: MD

Location Address7333 W JEFFERSON BLVDFort Wayne, IN 46804-6280

Mailing Address6920 Pointe Inverness Way Ste 200Fort Wayne, IN 46804-7934 · (260) 479-3516

Phone(260) 458-3830

Fax(260) 458-3831

Sole ProprietorNo

Enumeration DateOctober 24, 2006

Last NPPES UpdateMarch 28, 20222 updates tracked since enumeration

NPPES CertifiedMarch 28, 2022

✔ NPI 1760565402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083X0100X

License✔ Licensed in IN · 01028597A

Definition

Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 01028597A (IN)

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 01028597A (IN)

7333 W JEFFERSON BLVD, Fort Wayne, IN 46804

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Secondary Practice Location 1

Location 12600 Greenbush StLafayette, IN 47904-2477 · Phone (765) 448-8000 · Fax (765) 448-8702

Other Identifiers 2

Other000000646442IN · Anthem Provider Number

Medicaid100085750IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROLAND STUCKEY MD

Family Medicine