Individual provider Active NPI

Lee H Greene, M.D.

  • Family Medicine Physician
  • Delray Beach, FL
National Provider Identifier
1013002526
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME105146 Issued in FL
Practice address
15300 Jog Rd.
#205
Delray Beach, FL 33446
Phone
(561) 496-7200
Fax
(561) 496-7989
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0032429 FL
Family Medicine Physician 207Q00000X ME105146 FL Primary

Addresses

Primary practice location

15300 Jog Rd.
#205
Delray Beach, FL 33446

Mailing address

15300 Jog Rd.
#205
Delray Beach, FL 33446
Phone (561) 496-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080812000370 FL Practitioner - Family Practice 1153496062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0032429FLMDFamily Medicine Physician
ME105146FLMDFamily Medicine Physician
32429FLMDGeriatric Medicine (Internal Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1013002526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 JOG RD.",
            "address_2": "#205",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33446",
            "telephone_number": "561-496-7200",
            "fax_number": "561-496-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 JOG RD.",
            "address_2": "#205",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33446",
            "telephone_number": "561-496-7200",
            "fax_number": "561-496-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "LEE",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0032429",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME105146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.