Greenwich Integrative Medicine PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GREENWICH INTEGRATIVE MEDICINE PC

Practice address

35 River Rd
Cos Cob, CT 06807-2759

Phone

(203) 863-3615

NPI assigned

Mar 10, 2011

Last updated

Mar 10, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brian Doran, MD

Title

Officer

Phone

(203) 863-3637

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1003114398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 RIVER RD",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068072759",
            "telephone_number": "203-863-3615",
            "fax_number": "203-863-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 RIVER RD",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068072759",
            "telephone_number": "203-863-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWICH INTEGRATIVE MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "DORAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "203-863-3637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leila J. Garrett, M.D.
• Meredith Love Gold, LCSW
• Richard A Greenberg, D.D.S.
• Greenwich Acupuncture Clinic, LLC
• Greenwich Education and Prep, LLC
• Donna Joan Hagberg, M.D.
• Dwayne Patrick Hagenow
• Ira Stuart Honig, DDS
• Serena Hsin Huang, MD
• Louis Gabriel Imperato III, DPT

• Family Medicine Physician in Cos Cob, CT
• Providers in Cos Cob, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.