JERRY GEORGE GREESON (NPI# 1831799238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831799238 |
| Entity Type | Individual |
| Full Name | JERRY GEORGE GREESON |
| Credential | MED, LAT, ATC |
| Practice Address |
2239 Walker Ave Bldg 5570 Jbsa Lackland TX 78236-5632 |
| Mailing Address |
24526 Drew Gap San Antonio TX 78255-2284 |
| Practice Telephone | 2103658316 |
| Mailing Telephone | 2103658316 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PS0010X |
Emergency Medicine Specialization: Sports Medicine |
AT0646 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
2239 WALKER AVE BLDG 5570 |
| City | JBSA LACKLAND |
| State | TX |
| Zip Code | 78236-5632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
| 1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
| 1578120598 | Hali Rashelle Hall | Dentist | 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 | 2019-05-24 |
| 1952967077 | Paul Fianza Boseman | Nurse Practitioner | 1106 Wilford Hall Loop, San Antonio, TX 78236 | 2019-05-14 |
| 1689161978 | Kelly Jones Buckshire | Dentist | Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 | 2018-04-23 |
| 1902308570 | Roger Louis Farney | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 | 2018-02-28 |
| 1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
| 1831544956 | Michael Veronneau | Student in an Organized Health Care Education/Training Program | 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 | 2016-04-26 |
| 1376906958 | David Kephart Jr. | General Practice | 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 | 2016-04-01 |
| 1184084089 | Olivia Arballo | Dermatology | Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 | 2016-03-04 |
| Find all providers in zip 78236 | ||||
| Taxonomy Code | 207PS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Sports Medicine |
| An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/. American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755315 | Morgan Tharp | Emergency Medicine | 4401 Park Springs Blvd, Arlington, TX 76017-2016 | 2020-06-24 |
| 1639146079 | Chad Bergman | Emergency Medicine | 1 Spurs Ln, San Antonio, TX 78240-1634 | 2006-03-03 |
| 1457324782 | James S Distefano | Emergency Medicine | 3201 University Dr E Ste 320, Bryan, TX 77802-3478 | 2006-02-08 |
| 1124626825 | Chay Shalise Nersesian | Emergency Medicine | 301 Rivercrest Blvd, Allen, TX 75002-2100 | 2020-10-14 |
| 1609493543 | Brazos Valley Physicians Alliance | Emergency Medicine | 3121 University Dr E Ste 100, Bryan, TX 77802-3499 | 2020-06-26 |
| 1932697752 | Tyler Glynn Nugent | Emergency Medicine | 16811 Southwest Fwy Ste 200, Sugar Land, TX 77479-4728 | 2018-04-26 |
| 1407368111 | Stephan Ryan Fisher | Emergency Medicine | 601 University Dr, San Marcos, TX 78666-4684 | 2017-11-03 |
| 1205346236 | Pablo Daniel Riera | Emergency Medicine | 4103 W Slaughter Ln, Austin, TX 78749-6953 | 2017-10-04 |
| 1427594597 | Mobility Sports Therapy | Emergency Medicine | 25420 Kuykendahl Rd, Suite D500, The Woodlands, TX 77375-3405 | 2017-01-13 |
| 1720472418 | Emily Young | Emergency Medicine | 800 N Blue Mound Rd, Saginaw, TX 76131-1052 | 2015-03-20 |
| Find all providers with the same taxonomy | ||||
| City | JBSA LACKLAND |
| Zip Code | 78236 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.