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GREGORY J GRIEPENTROG M.D. NPI 1114991890


NPI Information

NPI: 1114991890
Provider Name: GREGORY J GRIEPENTROG, M.D.
Classification: Ophthalmology - 207WX0200X
Entity Type: Individual

Specialization: Ophthalmic Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
925 N 87TH ST
MEDICAL COLLEGE CLINICS AT THE EYE INSTITUTE
MILWAUKEE, WI
ZIP 53226
Phone: (414) 456-2020
Get Directions

Gregory J Griepentrog, M.D. is an ophthalmic plastic and reconstructive surgery ophthalmology in Milwaukee, WI with 20 years of experience. The provider is a physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. Gregory J Griepentrog, M.D. NPI is 1114991890. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

925 N 87TH ST
MEDICAL COLLEGE CLINICS AT THE EYE INSTITUTE
MILWAUKEE, WI
ZIP 53226-812
Phone: (414) 456-2020
Fax: (414) 456-6300

The NPI 1114991890 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/17/2006 and was last updated on 3/6/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology52797-020WISCONSINNo
2207WX0200XOphthalmologyOphthalmic Plastic and Reconstructive Surgery52797WISCONSINYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11114991890MEDICAIDWISCONSIN
260983OTHERWISCONSINDEAN HEALTH INSURANCE
3548332800MEDICAIDMINNESOTA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.