SAMUEL DOUGLAS GREESON (MD) – Occupational Medicine Physician, NPI 1760565402

SAMUEL DOUGLAS GREESON (MD) is a healthcare provider. based in Lafayette, Indiana. specializing in Occupational Medicine Physician. They hold the professional credentials MD. They hold a License No. 01028597A (IN). The NPI Number for SAMUEL DOUGLAS GREESON (MD) is 1760565402

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL DOUGLAS GREESON (MD)
NPI
1760565402
Phone
(765) 448-8000
Address
2600 Greenbush St
Enumeration Date
24 October 2006
Last Update Date
28 March 2022

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7654488000
Graduation Year
1978 (48 years ago)
PAC ID
6800931015
Group Practice PAC ID
0749184380
Professional Enrollment ID
I20100226000328

Contacts

Secure Messaging
sgreeso1@direct.iuhealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

Provider Addresses for SAMUEL DOUGLAS GREESON (MD)

  • 2600 Greenbush St

    Lafayette, IN 479042477

    Phone: (765) 448-8000

    Fax: (765) 448-8702

    Type: Location

  • 6920 POINTE INVERNESS WAY STE 200

    FORT WAYNE, IN 468047934

    Phone: (260) 479-3516

    Type: Mailing

  • 7333 W JEFFERSON BLVD

    FORT WAYNE, IN 468046280

    Phone: (260) 458-3830

    Fax: (260) 458-3831

    Type: Location

  • Prophetstown Aquatic Center, 5545, Swisher Road, West Lafayette, Tippecanoe County, Indiana, 47906, United States

    LAFAYETTE, IN 479035545

    Phone: (765) 448-8000

    Type: Mailing

  • 2600, Greenbush Street, Eastwich, Lafayette, Tippecanoe County, Indiana, 47904, United States

    LAFAYETTE, IN 479042477

    Phone: (765) 448-8000

    Fax: (765) 448-8702

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 47904)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749184380View full group profile
NameSpecialtyState
-IN
-IN
-KY
Physician AssistantIN
Physician AssistantMI
Internal MedicineIN
Anesthesiology, Pain ManagementTN
Internal Medicine, HospitalistIN
U R O L O G YNC
Nurse PractitionerIN

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Frequently asked questions

What federal number belongs to SAMUEL DOUGLAS GREESON (MD)?
The federal identifier for SAMUEL DOUGLAS GREESON (MD) is NPI 1760565402.
Is SAMUEL DOUGLAS GREESON (MD) active in the national directory?
SAMUEL DOUGLAS GREESON (MD)'s public NPI profile is in an active state.
What does SAMUEL DOUGLAS GREESON (MD) treat or focus on?
Patients typically see SAMUEL DOUGLAS GREESON (MD) under the specialty Occupational Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for SAMUEL DOUGLAS GREESON (MD)?
The page summarizes Lafayette, Indiana for SAMUEL DOUGLAS GREESON (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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