HARRY GLYN GREDITZER MD NPI 1215941166

NPI Information

NPI: 1215941166
Provider Name: HARRY GLYN GREDITZER, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
11133 DUNN ROAD
SAINT LOUIS, MO
ZIP 63136
Phone: (314) 653-4300
Get Directions

Harry Glyn Greditzer, MD is a diagnostic radiology radiology in Saint Louis, MO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Harry Glyn Greditzer, MD NPI is 1215941166. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11133 DUNN ROAD
SAINT LOUIS, MO
ZIP 63136
Phone: (314) 653-4300
Fax: (314) 821-2180

The enumeration date for this NPI number is 7/28/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	R7801	MISSOURI	Yes
2	2085R0202X	Radiology	Diagnostic Radiology		ILLINOIS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier Issuer
1	22730	OTHER	BLUE CHOICE
2	2781	OTHER	GHP
3	1077061	OTHER	MC MCAID
4	A27719	MEDICARE UPIN
5	0006021895	OTHER	IL BLUE
6	L40182	OTHER	IL CARE
7	317617	OTHER	HLT PART
8	A27719	OTHER	GATE WAY
9	100265	OTHER	H LINK
10	1611000	OTHER	PH PLAN
11	6006	OTHER	HCARE USA
12	1390	OTHER	MO BLUE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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